Individual
DR. ROXANNE L EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2434 S GLENCOE RD, NEW SMYRNA BEACH, FL 32168-9360
(285) 424-9740
Mailing address
2434 S GLENCOE RD, NEW SMYRNA BEACH, FL 32168-9360
(285) 424-9740
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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