Individual provider · Type 1 NPI
Micah Boaz Obadiah Edwin, MD
General Practice Physician · Lauderdale Lakes, FL
NPI number
1033430327
Active
Practice location
4850 W Oakland Park Blvd Ste 224
Lauderdale Lakes, FL 33313-7261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 261987 (NY) |
| General Practice Physician Primary | 208D00000X | ME143503 (FL) |
| General Practice Physician | 208D00000X | 2010-01073 (NC) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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About NPI 1033430327
Micah Boaz Obadiah Edwin, MD's National Provider Identifier is 1033430327, issued on Jun 21, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Mar 8, 2026.