Individual
CHARLES EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME80857
FL
208M00000X
Hospitalist Physician
Primary
ME80857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01671
BLUE CROSS BLUE SHIELD
FL
05
—
261430800
—
FL
Enumeration date
08/08/2006
Last updated
03/30/2021
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