Edge Medical Marketing LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

EDGE MEDICAL MARKETING LLC

Practice address

6586 Hypoluxo Rd
Ste 264
Lake Worth, FL 33467-7678

Phone

(954) 418-2613

Fax

(561) 828-3372

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Mary C Martinez

Title

President

Phone

(954) 418-2613

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1417328709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 HYPOLUXO RD",
            "address_2": "STE 264",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677678",
            "telephone_number": "954-418-2613",
            "fax_number": "561-828-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6586 HYPOLUXO RD",
            "address_2": "STE 264",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677678",
            "telephone_number": "954-418-2613",
            "fax_number": "561-828-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE MEDICAL MARKETING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-418-2613"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.