Organization
EDEMA SPECIALISTS OF SOUTH FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MAULDIN (OWNER)
(954) 907-0826
Entity
Organization
Contact information
Practice address
702 SE 2ND AVE APT 404, DEERFIELD BEACH, FL 33441-5444
(954) 907-0826
(561) 300-2156
Mailing address
702 SE 2ND AVE APT 404, DEERFIELD BEACH, FL 33441-5444
(954) 907-0826
(561) 300-2156
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
OT5972
FL
Other
Enumeration date
03/08/2013
Last updated
01/27/2014
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