Provider Demographics
NPI:1487744934
Name:EDWARDS, DREW JAMESON (MD)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:JAMESON
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 25487
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-2487
Mailing Address - Country:US
Mailing Address - Phone:941-202-5342
Mailing Address - Fax:877-807-0253
Practice Address - Street 1:1720 MANATEE AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1452
Practice Address - Country:US
Practice Address - Phone:941-216-2878
Practice Address - Fax:941-216-7337
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT032846207Q00000X
FLME150447207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001326469Medicaid
CTF55325Medicare UPIN
CT0800001361Medicare NSC