Individual
DR. ANDREA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2600 LAUREL RD E, NORTH VENICE, FL 34275-3226
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS16818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS16818
STATE LICENSE
FL
Enumeration date
05/28/2017
Last updated
01/14/2022
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