Organization
MEDICAL DIAGNOSTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD D MICHAELSON M.D. (MEMBER-MANAGER)
(954) 401-7505
Entity
Organization
Contact information
Practice address
2030 W MCNAB RD, FORT LAUDERDALE, FL 33309-1002
(954) 401-7505
Mailing address
6278 N FEDERAL HWY, SUITE #454, FORT LAUDERDALE, FL 33308-1916
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
Other
Enumeration date
01/06/2010
Last updated
08/10/2010
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