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Kerry Ivan Edwards, M.D.

Internal Medicine in Alachua, FL. Individual provider (NPI-1).

NPI number1114198736
StatusActive
Last updated in NPPESMar 24, 2008

Details

NPI
1114198736
Entity type
Individual (NPI-1)
Name
Kerry Ivan Edwards
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 24, 2008
Last updated
Mar 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME0051192FLYes

Practice location

18912 Nw 76th Ave
Alachua, FL 32615-7589

Phone 352-256-3288 · Fax 386-418-4335

Mailing address

18912 Nw 76th Ave
Alachua, FL 32615-7589

Phone 352-256-3288 · Fax 386-418-4335

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