| Edgar Ibanez MD, PA | |
|
2609 W Woolbright Rd Ste 4c Boynton Beach FL 33436-6634 | |
| (561) 738-1770 | |
| (561) 738-9992 |
| Full Name | Edgar Ibanez MD, PA |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2609 W Woolbright Rd, Boynton Beach, Florida |
| Authorized Official Name and Position | Edgar Ibanez (PRESIDENT) |
| Authorized Official Contact | 5617381770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Ibanez MD, PA 2609 W Woolbright Rd Ste 4c Boynton Beach FL 33436-6634 Ph: (561) 738-1770 | Edgar Ibanez MD, PA 2609 W Woolbright Rd Ste 4c Boynton Beach FL 33436-6634 Ph: (561) 738-1770 |
| NPI Number | 1134421589 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134421589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME35446 (Florida) | Primary |
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