Individual
EDLIRA MASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10101 FOREST HILL BLVD, WELLINGTON, FL 33414-6103
(561) 472-2590
(561) 227-0161
Mailing address
10101 FOREST HILL BLVD, WELLINGTON, FL 33414-6103
(561) 472-2583
(561) 472-2527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME119335
FL
207R00000X
Internal Medicine Physician
TRN16048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011710200
—
FL
Enumeration date
05/10/2011
Last updated
07/06/2023
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