Individual
DR. JEFFERSON R. EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD, SUITE 2571, JACKSONVILLE, FL 32258-7418
(904) 886-2251
(904) 886-7151
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME61528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020034505
RAILROAD MEDICARE
—
01
—
14861
BCBS FL
—
01
—
227864
AVMED
—
01
—
2683030
CIGNA
—
01
—
4236497
AETNA
—
Enumeration date
05/02/2006
Last updated
06/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us