Organization
EDWARD LAIRD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD LAIRD M.D. (PRESIDENT)
(239) 574-6696
Entity
Organization
Contact information
Practice address
2307 BOLADO PARKWAY, CAPE CORAL, FL 33990-2712
(239) 574-6696
Mailing address
2307 BOLADO PKWY, CAPE CORAL, FL 33990-2712
(239) 574-6696
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME29033
FL
Other
Enumeration date
01/06/2009
Last updated
05/07/2009
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