Most Relevant Information
Provider Data
NPI Number: | 1003056755 |
Provider Name: | TRAVIS HOWELL EDELSTEIN D.O. |
Entity Type: | Individual |
Taxonomy Code: | 2085R0204X |
Specialty: | Radiology |
License Number: | OS12469 |
Most Important Dates
Enumeration Date: | 02/20/2009 |
Last Updated: | 06/19/2014 |
Provider Practice Location
655 W 8TH ST
2ND FLOOR CLINICAL CENTER UNIVERSITY OF FLORIDA JACKSON
JACKSONVILLE
FL
322096511
Practice Location Phone/Fax
Phone: | 9547754645 |
Fax: |
Provider Mailing Location
655 W 8TH ST
2ND FLOOR CLINICAL CENTER UNIVERSITY OF FLORIDA JACKSON
JACKSONVILLE
FL
322096511
Provider Mailing Phone/Fax
Phone: | 9547754645 |
Fax: |