Organization
EDWIN LIU, MD PA
Active
Other names
Pediatric Neurologists of Palm Beach
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA MIZELL MARTIN (OFFICE MANAGER)
(561) 753-8888
Entity
Organization
Contact information
Practice address
12959 PALMS WEST DRIVE, SUITE 120, LOXAHATCHEE, FL 33470
(561) 753-8888
(561) 795-5004
Mailing address
12959 PALMS WEST DRIVE, SUITE 120, LOXAHATCHEE, FL 33470
(561) 753-8888
(561) 795-5004
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME79332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273110000
—
FL
Enumeration date
06/01/2007
Last updated
10/08/2009
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