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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICAH BOAZ OBADIAH EDWIN, MD

Active Sole Proprietor

DR. MICAH BOAZ OBADIAH EDWIN, MD is a General Practice healthcare provider located in LAUDERDALE LAKES, Florida. NPI 1033430327 is currently active in the NPPES registry. Verify at CMS.

General Practice · LAUDERDALE LAKES, FL

Registration Details

NPI Number
1033430327
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2010 (16.125433563196 yrs)
Last Updated
Mar 8, 2026
Licenses
261987 (NY)
ME143503 (FL)
2010-01073 (NC)
Sole Proprietor
Yes

Practice Information

Address
4850 W OAKLAND PARK BLVD STE 224
LAUDERDALE LAKES, FL, 333137261
Browse FL providers · Browse ZIP 33313
Phone
7862142001
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Additional Specialty
General Practice

Other General Practice Providers in LAUDERDALE LAKES, FL

Name Credential NPI
JOSE V COBA MD 1417907304
DR. CLINTON JULES M.D. 1811923352
DR. EVON BEKHIT M.D. 1225042526
MARIANA SOLANGEL MD 1518037365
DR. ERIC BELIZAIRE M.D. 1003030347
JEAN BERLONGE PIERRE MD 1255769246
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.