Mrs. Mary-Ellen Adele Edmiston
Family Doctor - Hospice and Palliative Medicine
3470 Lakeland Hills Blvd
Lakeland
, Florida 33805-1946
Mrs. Mary-Ellen Adele Edmiston
Family Doctor - Hospice and Palliative Medicine
3470 Lakeland Hills Blvd
Lakeland
, Florida 33805-1946
(813) 871-8184
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Mrs. Mary-Ellen Adele Edmiston
- 12470 Telecom Dr Ste 300w
- Temple Terrace, FL
- Zip : 33637-0904
- Fax : (813) 871-8184
- Phone : (813) 871-8183
Second Address
- Mrs. Mary-Ellen Adele Edmiston
- 3470 Lakeland Hills Blvd
- Lakeland, FL
- Zip : 33805-1946
- Fax : (863) 682-3006
- Phone : (863) 682-0027
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS16990 | FL |
National Provider Identifier
| NPI | 1427477470 |
|---|---|
| Provider Name | Mrs. Mary-Ellen Adele Edmiston |
| First Address | Temple Terrace, FL 33637-0904 |
| Second Address | Lakeland, FL 33805-1946 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2014 |
| Last Update Date | 27/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.