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NPI Provider: 1730185307
Contact Name: Metchick Nathaniel Lee
Position: President
Phone: (386) 427-4544
Edgewater Endocrinology P A Information:
Edgewater Endocrinology P A organization have npi 1730185307, taxonomy code is 207RE0101X with license number is 219270 in . This Business address located in 109 W. Knapp Avenue, Edgewater, FL 32132 Florida. Get directions of Edgewater Endocrinology P A.
Practice Location
Address: 109 W. Knapp Avenue, Edgewater, FL 32132
Phone: (386) 427-4544
Business Location
Address: 109 W. Knapp Avenue, Edgewater, FL 32132
Phone: (386) 427-4544
Fax: (386) 427-8688
Taxonomy
Taxonomy Code: 207RE0101X
License Number: 219270
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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