Individual
DR. EDGAR IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2609 W WOOLBRIGHT RD, STE 4 C, BOYNTON BEACH, FL 33436-6634
(561) 738-1770
(561) 738-9992
Mailing address
2609 W WOOLBRIGHT RD, STE 4 C, BOYNTON BEACH, FL 33436-6634
(561) 738-1770
(561) 738-9992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME35446
FL
Other
Enumeration date
07/19/2006
Last updated
07/28/2010
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