Edgewater Gynecology P a

NPI #1508818691 in Edgewater, Florida

Provider Information

NPI Number: 1508818691
Entity Type: Organization
Organization Name: Edgewater Gynecology P a
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: May 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 109 W. KNAPP AVENUE
City: Edgewater
State: Florida
ZIP Code: 32132
Phone: (386) 427-4544

Authorized Official

Name: HEATHER MICHELLE METCHICK, MD
Title: PRESIDENT
Phone: (386) 427-4544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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