Individual
DR. THOMAS LLOYD EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12844 JOE HARIG RD, SAN ANTONIO, FL 33576-0537
(352) 206-4165
(888) 523-3008
Mailing address
PO BOX 537, SAN ANTONIO, FL 33576-0537
(352) 206-4165
(888) 523-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS-0006349
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS6349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370860800
—
FL
01
—
56339
AOA NUMBER
FL
01
—
OS-0006349
OSTEOPATHIC LICENSE
FL
Enumeration date
06/14/2006
Last updated
03/07/2023
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