Provider Demographics
NPI:1528253051
Name:EDELMAN, SARI DAWN (DO)
Entity type:Individual
Prefix:
First Name:SARI
Middle Name:DAWN
Last Name:EDELMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SARI
Other - Middle Name:DAWN
Other - Last Name:FEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1831 N BELCHER RD STE D2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1450
Mailing Address - Country:US
Mailing Address - Phone:772-734-6631
Mailing Address - Fax:
Practice Address - Street 1:1831 N BELCHER RD STE D2
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1450
Practice Address - Country:US
Practice Address - Phone:727-734-6631
Practice Address - Fax:727-551-5837
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS17624207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400000509Medicare PIN