Individual
MICHELE NICOLE EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355
(407) 200-4947
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355
(407) 200-4947
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME135886
FL
Other
Enumeration date
03/25/2013
Last updated
01/25/2019
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