Individual
DR. MARK EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4713 HIGHWAY 90, PACE, FL 32571-1403
(850) 304-0694
(850) 304-0707
Mailing address
4713 HIGHWAY 90, AFC UC, PACE, FL 32571-1403
(850) 304-0694
(850) 304-0707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME116022
FL
2083A0100X
Aerospace Medicine Physician
ME116022
FL
208D00000X
General Practice Physician
Primary
ME116022
FL
Other
Enumeration date
08/09/2005
Last updated
07/31/2015
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