Organization
EDGAR IBANEZ MD, PA
Active
Organization
EDGAR IBANEZ MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR IBANEZ MD (PRESIDENT)
(561) 738-1770
Entity
Organization
Contact information
Practice address
2609 W WOOLBRIGHT RD, STE 4C, BOYNTON BEACH, FL 33436-6634
(561) 738-1770
(561) 738-9992
Mailing address
2609 W WOOLBRIGHT RD, STE 4C, BOYNTON BEACH, FL 33436-6634
(561) 738-1770
(561) 738-9992
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME35446
FL
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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