Individual
DR. THEODORE E. EDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 EAGLETON COVE WAY, PALM BEACH GARDENS, FL 33418-8456
(561) 775-1981
Mailing address
400 EAGLETON COVE WAY, PALM BEACH GARDENS, FL 33418-8456
(561) 775-1981
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101018288
VA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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