Edema Specialists of South Florida, Inc

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

OT5972 Issued in FL

Legal business name

EDEMA SPECIALISTS OF SOUTH FLORIDA, INC

Practice address

702 SE 2ND Ave Apt 404
Deerfield Beach, FL 33441-5444

Phone

(954) 907-0826

Fax

(561) 300-2156

NPI assigned

Mar 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Mauldin

Title

Owner

Phone

(954) 907-0826

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1346581824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SE 2ND AVE APT 404",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415444",
            "telephone_number": "954-907-0826",
            "fax_number": "561-300-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SE 2ND AVE APT 404",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415444",
            "telephone_number": "954-907-0826",
            "fax_number": "561-300-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEMA SPECIALISTS OF SOUTH FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-907-0826"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "FL",
            "license": "OT5972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Coast Physical Therapy & Wellness Center
• Beatrice Eboka, FNP
• Keywanna Echavaria
• Edward David Eckert, MD
• Krista Eckhoff
• Emily Edenburg
• Kristyn Edenfield
• Alainia Edmond
• Marie Leslie Edmond
• Leona Edmund

• Occupational Medicine Clinic/Center in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Occupational Medicine Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.