MEDICARE: EASYCARE MEDICAL PARTNERS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1114896966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASYCARE MEDICAL PARTNERS, P.A.

Provider Business Mailing Address
First Line	:	3390 MARY ST STE 116
Second Line	:
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-5255
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3390 MARY ST STE 116
Second Line	:
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-5255
Country	:	US
Telephone Number	:	785-760-4296
Fax Number	:

Authorized Official
Title or Position	:	SHAREHOLDER, DIRECTOR & OFFICER
Name	:	ALLISON EDWARDS
Credential	:	MD
Telephone Number	:	785-760-4296

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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