Provider Demographics
NPI:1538301437
Name:SMOLAR, EDWARD N (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:N
Last Name:SMOLAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20967 VIETO TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1642
Mailing Address - Country:US
Mailing Address - Phone:561-212-0270
Mailing Address - Fax:954-491-6419
Practice Address - Street 1:5333 N DIXIE HWY STE 205
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3454
Practice Address - Country:US
Practice Address - Phone:954-491-1000
Practice Address - Fax:954-938-7923
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2024-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME16517207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD64619Medicare UPIN