Individual
JEAN B EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11645 BISCAYNE BLVD STE 302, MIAMI, FL 33181-3138
(305) 538-8835
(305) 994-0054
Mailing address
11645 BISCAYNE BLVD STE 207, MIAMI, FL 33181-3138
(305) 538-8835
(305) 994-0054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016850100
—
FL
Enumeration date
06/19/2014
Last updated
09/15/2025
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