Organization
EDWIN LIU, MD PA
Active
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
Update your record
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