Individual
EDNER JOSEPH JEAN-JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
38754 STATE ROAD 80, BELLE GLADE, FL 33430-5615
(561) 983-9220
(561) 983-9320
Mailing address
800 CLEMATIS ST STE 5-531, WEST PALM BEACH, FL 33401-5107
(561) 671-4043
(561) 837-5190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME92065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272633500
—
FL
Enumeration date
06/20/2006
Last updated
08/22/2018
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