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KERRY IVAN EDWARDS M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1114198736

Individual Registrant:
 KERRY IVAN EDWARDS M.D.
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

Contact information for business:
18912 NW 76TH AVE  ALACHUA, FL 32615-7589 US
Tel: 352-256-3288  Fax: 386-418-4335

Registration Information:
NPI: 1114198736
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME0051192

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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