Doctor Name: | DR. TRAVIS HOWELL EDELSTEIN |
NPI Number: | 1003056755 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS12469 |
Business Practice Address: | 655 W 8th St 2nd Floor Clinical Center University Of Florida Jackson Jacksonville, FL - 322096511 |
Business Phone Number: | 9547754645 |
Business Fax Number: | |
Mailing Address: | 655 W 8th St, 2nd Floor Clinical Center University Of Florida Jackson JACKSONVILLE |
State: | FL |
Postal Code: | 322096511 |
Phone Number: | 9547754645 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 06/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | OS12469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |