Individual provider · Type 1 NPI

Cory Mical Edgar, PA-C

Medical Physician Assistant · Orlando, FL

NPI number 1316336076 Active

Practice location

2415 N Orange Ave Ste 601
Orlando, FL 32804-5558

Call (407) 303-2070 Map

Fax (407) 303-2071

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant 363A00000XPA09629 (TX)
Medical Physician Assistant Primary 363AM0700XPA9109621 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1316336076

Cory Mical Edgar, PA-C's National Provider Identifier is 1316336076, issued on Jan 20, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Sep 14, 2016.