Provider Demographics
NPI:1932352937
Name:EDWARDS, ELIZABETH M (DPM)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:2350 SUNSET POINT RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1443
Mailing Address - Country:US
Mailing Address - Phone:727-796-0565
Mailing Address - Fax:727-796-7464
Practice Address - Street 1:2350 SUNSET POINT RD
Practice Address - Street 2:SUITE A
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1443
Practice Address - Country:US
Practice Address - Phone:727-796-0565
Practice Address - Fax:727-796-7464
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2014-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPR125213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFG914ZMedicare PIN