Healthcare Provider Details

I. General information

NPI: 1265336523
Provider Name (Legal Business Name): EDRIS SAUNDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 LOWSON BLVD
DELRAY BEACH FL
33445-6045
US

IV. Provider business mailing address

220 SW 4TH AVE
DELRAY BEACH FL
33444-2510
US

V. Phone/Fax

Practice location:
  • Phone: 561-454-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9225730
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: