Organization
RIDGE-EDWARDS DERMATOLOGY PA
Active
Organization
RIDGE-EDWARDS DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD K EDWARDS JR. MD (OWNER)
(954) 941-5401
Entity
Organization
Contact information
Practice address
1754 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-5721
(954) 776-5463
(954) 776-5466
Mailing address
1754 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-5721
(954) 776-5463
(954) 776-5466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME38943
STATE
FL
Enumeration date
05/08/2007
Last updated
10/09/2017
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