Individual
COURTNEY MICHELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 N 35TH AVE STE 200, HOLLYWOOD, FL 33021
(954) 265-0000
(954) 893-6347
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME128164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017375600
—
FL
Enumeration date
06/18/2010
Last updated
03/19/2021
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