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General NPI Number Information
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NPI Number | 1477425809
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Entity Type | Organization
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Legal Business Name | PHYSICIANS EDGE MEDICAL COMPANY FLORIDA
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 3230 WOOD VALLEY RD NW
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City | ATLANTA
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State | GA
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Zip | 30327-1514
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Country | US
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Telephone | 404-275-5435
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Fax |
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Provider Business Mailing Address
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Address Line | 3230 WOOD VALLEY RD NW
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City | ATLANTA
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State | GA
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Zip | 30327-1514
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Country | US
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Telephone | 404-275-5435
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DAVID ROE
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Credential | MD
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Telephone | 404-840-5124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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