Provider Demographics
NPI:1437107190
Name:MAGEE, EDWARD J (MD)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:J
Last Name:MAGEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:910 WILLISTON PARK PT
Mailing Address - Street 2:SUITE #2050
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2172
Mailing Address - Country:US
Mailing Address - Phone:407-829-8960
Mailing Address - Fax:407-829-8978
Practice Address - Street 1:910 WILLISTON PARK PT
Practice Address - Street 2:SUITE #2050
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2172
Practice Address - Country:US
Practice Address - Phone:407-829-8960
Practice Address - Fax:407-829-8978
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2022-02-09
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Provider Licenses
StateLicense IDTaxonomies
FLME88467207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL297957OtherAVMED
FL562499046OtherFHHS
FL562499046OtherHUMANA
FL7384706OtherAETNA
FL9825037OtherCIGNA
FL562499046OtherUNITED HEALTHCARE
FL64364OtherBCBS
FL7384706OtherAETNA