Provider Demographics
NPI:1164276382
Name:EDWARDS, D'ANNA-MARIE ASHLEY ANGELIQUE
Entity Type:Individual
Prefix:DR
First Name:D'ANNA-MARIE
Middle Name:ASHLEY ANGELIQUE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 JOE DIMAGGIO DRIVE
Mailing Address - Street 2:JOE DIMAGGIO CHILDRENS HOSPITAL
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-265-4461
Mailing Address - Fax:
Practice Address - Street 1:1005 JOE DIMAGGIO DRIVE
Practice Address - Street 2:JOE DIMAGGIO CHILDRENS HOSPITAL
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-265-4461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program