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1184609216
DIANA L EDGAR
JACKSONVILLE, FL
NPI
1184609216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME46121)
Enumeration Date
2005-12-13
Last Update Date
2009-06-03
Business Address
Dr. DIANA L EDGAR M.D.
655 W 8TH ST UFJP RADIOLOGY DEPT.
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4224
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Mailing Address
Dr. DIANA L EDGAR M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number:
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