Edgewater Internal Medicine Assoc. Inc.

NPI #1518938372 in Edgewater, Florida

Provider Information

NPI Number: 1518938372
Entity Type: Organization
Organization Name: Edgewater Internal Medicine Assoc. Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: EDGEWATER INTERNAL MEDICINE ASSOCIATES
Primary Specialty: Internal Medicine
Enumeration Date: Jan 30, 2006
Last Updated: Aug 4, 2014

Practice Location

Address: 2568 S. RIDGEWOOD AVE
Address 2: SUITE 5
City: Edgewater
State: Florida
ZIP Code: 32141-7535
Phone: (386) 428-4640

Authorized Official

Name: DR. LESLIE MANUEL LEE, MD
Title: PRESIDENT OWNER
Phone: (386) 428-4640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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