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Individual

EDWARD JAMES CALLAHAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3425 BAYSIDE LAKES BLVD SE # 10310114, PALM BAY, FL 32909-6867
(385) 229-9889
Mailing address
10281 BENTLEY OAKS AVE, LAS VEGAS, NV 89135-2037
(385) 229-9889

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11427675-1205
UT
208D00000X
General Practice Physician
Primary
ME171043
FL

Other

Enumeration date
04/16/2018
Last updated
07/25/2025
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