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Provider Information for 1407277825


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Mr. EDWARD DRIVER LCSW


Sex: Male

NPI: 1407277825
Last Updated: 2025-03-21
Certification Date:

Details

NameValue
NPI1407277825
Enumeration Date2014-01-02
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 7900 NW 27TH AVE
SUITE 234B
MIAMI, FL 33147-4909
United States

Phone: 786-318-2337 | Fax:786-318-2339
 
Primary Practice Address 7900 NW 27TH AVE
SUITE E-12
MIAMI, FL 33147-4909
United States

Phone: 786-318-2337 | Fax:786-318-2339
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalFLSW11114
No 101YM0800X - Counselor - Mental Health