Individual
MR. ADAM SCOTT EDELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
12545 ORANGE DR, DAVIE, FL 33330-4306
(954) 236-9415
Mailing address
881 NW 130TH AVE, PEMBROKE PINES, FL 33028-3135
(954) 438-1467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8886466
—
FL
Enumeration date
11/20/2006
Last updated
07/08/2007
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