Individual
KEREN EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 343-1000
Mailing address
1819 SW 16TH TER, CAPE CORAL, FL 33991-3172
(352) 514-5404
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9324777
FL
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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