Individual
DR. KANE ETHAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 MACK BAYOU LOOP, SANTA ROSA BEACH, FL 32459-2606
(850) 390-4540
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.44540
AL
207R00000X
Internal Medicine Physician
T-3764
MS
207RG0100X
Gastroenterology Physician
MD.44540
AL
207RG0100X
Gastroenterology Physician
ME173662
FL
207RG0100X
Gastroenterology Physician
Primary
ME173662
MS
Other
Enumeration date
04/03/2019
Last updated
06/10/2025
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