NPI 1033430327

Micah Boaz Obadiah Edwin, MD

Practitioner General Practice Physician Lauderdale Lakes, FL

Practice location

Address: 4850 W Oakland Park Blvd STE 224, Lauderdale Lakes, FL 33313-7261
Phone: (786) 214-2001

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence ME143503 (FL)

Other General Practice providers in Florida →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 261987 (NY)

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2010-01073 (NC)

Registry record

NPI: 1033430327
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2010
Record last updated: 8 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.