Healthcare Provider Details

I. General information

NPI: 1932145117
Provider Name (Legal Business Name): RODNEY KIRK EDWARDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RODNEY K EDWARDS

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-4637
US

IV. Provider business mailing address

PO BOX 100294
GAINESVILLE FL
32610-0294
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7584
  • Fax: 352-392-3498
Mailing address:
  • Phone: 352-273-7584
  • Fax: 352-392-3498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME72732
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number31258
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number31964
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME164577
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: