MEDICARE: EDWARD B BIEDERMAN

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	207R00000X	Internal Medicine Physician	ME26835	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780799940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD B BIEDERMAN

Provider Business Mailing Address
First Line	:	4701 N FEDERAL HWY
Second Line	:	SUITE A-27
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4608
Country	:	US
Telephone Number	:	954-938-9966
Fax Number	:	954-938-8227

Provider Business Practice Location Address
First Line	:	4701 N FEDERAL HWY
Second Line	:	SUITE A-27
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4608
Country	:	US
Telephone Number	:	954-938-9966
Fax Number	:	954-938-8227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	06/20/2012

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Directions to “ EDWARD B BIEDERMAN ” Practice Location

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