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KERRY IVAN EDWARDS M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1114198736
Individual Registrant: KERRY IVAN EDWARDS M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
18912 NW 76TH AVE ALACHUA, FL 32615-7589 US
Tel: 352-256-3288 Fax: 386-418-4335
Tel: 352-256-3288 Fax: 386-418-4335
Contact information for business:
18912 NW 76TH AVE ALACHUA, FL 32615-7589 US
Tel: 352-256-3288 Fax: 386-418-4335
Tel: 352-256-3288 Fax: 386-418-4335
Registration Information:
NPI: 1114198736
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | FL | ME0051192 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
