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Individual

DR. ROXANNE L EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0055092
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME0055092
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063395000
FL
01
2008-00902
STATE PROFESSIONAL LICENSE
NC
Enumeration date
01/31/2007
Last updated
12/16/2019
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