Individual
STEVEN VON EDWINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 E MARKS ST, ORLANDO, FL 32803-3819
(407) 284-6460
(407) 284-6461
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 284-6460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS15996
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO5178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8877
FL MEDICARE
FL
Enumeration date
06/29/2016
Last updated
03/11/2021
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