DR. Micah Boaz Edwin, MD
NPI #1033430327 in Lauderdale Lakes, Florida
Provider Information
- NPI Number
- 1033430327
- Entity Type
- Individual
- Name
- DR. Micah Boaz Edwin, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Practice
- Credential
- MD
- Enumeration Date
- Jun 21, 2010
- Last Updated
- Apr 8, 2021
Practice Location
- Address
- 4850 W OAKLAND PARK BLVD STE 224
- City
- Lauderdale Lakes
- State
- Florida
- ZIP Code
- 33313-7261
- Phone
- (786) 214-2001
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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