Individual
GARY J EDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4705 N FEDERAL HIGHWAY, BOCA RATON, FL 33496
(561) 405-9610
(561) 218-0210
Mailing address
4705 N FEDERAL HIGHWAY, BOCA RATON, FL 33496
(561) 405-9610
(561) 218-0210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106103
FL
Other
Enumeration date
03/19/2013
Last updated
10/03/2014
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