Individual
DR. SAMUEL M EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
750 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 736-7244
(386) 736-8538
Mailing address
750 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 736-7244
(386) 736-8538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0066309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272821400
—
FL
Enumeration date
12/16/2006
Last updated
08/02/2011
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