EDGAR IBANEZ MD, PA
Osteopathic Medicine at Woolbright Rd, Boynton Beach, FL

License number
Florida ME35446
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: EDGAR IBANEZ MD
Title: PRESIDENT
Phone: (561) 738-1770
Address
Address
2609 W Woolbright Rd STE 4C, Boynton Beach, FL 33436
National Provider ID: 1134421589
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDGAR IBANEZ, M.D., PA

2609 Woolbright Rd, Boynton Beach, FL 33436

Status:
Inactive
Industry:
Gastroenterology, Internist
Doing business as:
Edgar Ibanez MD
Inactive reason:
REINSTATEMENT
Registration:
May 21, 2003
Inactive since:
Jan 16, 2014
Phone:
(561) 738-1770 (Phone)
Description:
VISIT WWW.ABMS.ORG TO FIND OUT IF THIS PHYSICIAN IS BOARD CERTIFIED.
State ID:
P03000056175
Business type:
Florida Profit Corporation
S:
Ibanez, Edgar, M.d, 2609 Woolbright Rd #4C, Boynton Beach, FL 33436 (Physical),Edgar Duran Ibanez
Agent:
Macaulay, Robert B, Esq
EIN:
59-2042521
Categories:
Gastroenterology Physicians & Surgeons, Physicians & Surgeons

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