Organization
NEIL H EDISON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL HARVEY EDISON MD (PRESIDENT)
(954) 986-1179
Entity
Organization
Contact information
Practice address
3107 STIRLING ROAD, SUITE 103, FORT LAUDERDALE, FL 33312-8500
(954) 986-1179
(954) 986-1959
Mailing address
3107 STIRLING ROAD, SUITE 103, FORT LAUDERDALE, FL 33312-8500
(954) 986-1179
(954) 986-1959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0015827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003844
AVMED
FL
05
—
058304900
—
FL
Enumeration date
12/01/2006
Last updated
06/23/2011
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