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Individual

EDSON MWAKYANJALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN24728
FL
208M00000X
Hospitalist Physician
66123
AZ
208M00000X
Hospitalist Physician
77871
WI
208M00000X
Hospitalist Physician
Primary
ME140140
FL

Other

Enumeration date
05/11/2017
Last updated
06/20/2023
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