Individual
NEIL HARVEY EDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3107 STIRLING RD, SUITE 103, FORT LAUDERDALE, FL 33312-6565
(954) 986-1179
(954) 986-1959
Mailing address
3107 STIRLING RD, SUITE 103, FORT LAUDERDALE, FL 33312-6565
(954) 986-1179
(954) 986-1959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0015827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003844
AVMED
FL
Enumeration date
10/11/2007
Last updated
10/11/2007
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