Organization
THOMAS L EDWARDS DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LLOYD EDWARDS DO (PRESIDENT)
(352) 588-0476
Entity
Organization
Contact information
Practice address
12844 JOE HARIG ROAD, SAN ANTONIO, FL 33576
(352) 588-0476
(888) 523-3008
Mailing address
12844 JOE HARIG ROAD, SAN ANTONIO, FL 33576
(352) 588-0476
(888) 523-3008
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370860800
—
FL
Enumeration date
10/30/2007
Last updated
06/27/2016
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