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

MICHAEL EDMISTON, PHYSICIAN ASSISTANT

Active

MICHAEL EDMISTON, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in ORLANDO, Florida. NPI 1790324549 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ORLANDO, FL

Registration Details

NPI Number
1790324549
Provider Type
Individual
Gender
Male
NPI Issued
Dec 26, 2019 (6.6237521326818 yrs)
Last Updated
Feb 13, 2024
Licenses
PA9113231 (FL)
PA9113231 (FL)

Practice Information

Address
1222 S ORANGE AVE
ORLANDO, FL, 328061215
Browse FL providers · Browse ZIP 32806
Phone
3218416444
Fax
4074453515
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in ORLANDO, FL

Name Credential NPI
MISS MARIZOL FONTANEZ PA-C 1801896808
JASON B CARTER PA 1487654406
KAREN L. MILLER P.A. 1952394991
SHIRLEY J HOM PA C 1972598860
MR. ANTHONY PACHECO PA 1164418299
KIM A BALOGH PA 1487641387
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.