Provider Demographics
NPI:1912034257
Name:ILLIONS, EDWARD HARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:HARRIS
Last Name:ILLIONS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8950 N KENDALL DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2131
Mailing Address - Country:US
Mailing Address - Phone:305-596-4013
Mailing Address - Fax:305-596-4557
Practice Address - Street 1:8950 N KENDALL DR STE 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2131
Practice Address - Country:US
Practice Address - Phone:305-596-4013
Practice Address - Fax:305-596-4557
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2024-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME62745207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty