Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033430327 Individual Practitioner Male Practitioner

Dr. Micah Boaz Obadiah Edwin , MD

General Practice • Lauderdale Lakes, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Micah Edwin, MD is a certified General Practice practicing in Lauderdale Lakes, FL. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Edwin delivers high-quality medical care to the local community at 4850 W OAKLAND PARK BLVD STE 224.

Dr. Edwin accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4850 W Oakland Park Blvd Ste 224

Lauderdale Lakes, FL 333137261

Telephone 7862142001
Associated Practice Facility / Clinic
🏢 Medwin Pa Facility NPI 1275168650

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lauderdale Lakes, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -5.0 yrs vs City Avg
City Avg: 24.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Lauderdale Lakes, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwin (19 Years) 19 Yrs
Lauderdale Lakes Specialty Average (24.0 Years) 24.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-08
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME143503

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License NY 261987

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License NC 2010-01073

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address March 08, 2026

Registered at 4850 W OAKLAND PARK BLVD STE 224, LAUDERDALE LAKES, FL 333137261 (Tel: 9548355863)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2026

General Practice (License #261987 in NY)

📍
Updated Practice Location April 08, 2021

Registered at 4850 W OAKLAND PARK BLVD STE 224, LAUDERDALE LAKES, FL 333137261 (Tel: 7862142001)

📍
Updated Business Mailing Address July 10, 2020

Registered at PO BOX 4067, FT LAUDERDALE, FL 333384067 (Tel: 5263052802)

NPI Profile Active June 21, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2010

Registered at 3721 LYNN RD, SUITE 104, RALEIGH, NC 276133854 (Tel: 9102585480)

📍
Updated Business Mailing Address June 21, 2010

Registered at 3500 MILL TREE RD, APT B4, RALEIGH, NC 276124270 (Tel: 5263052802)

👤
Provider Name / Credentials Updated June 21, 2010

Recorded as MICAH EDWIN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2010

General Practice (License #2010-01073 in NC)

🟢
Initial NPI Registration & Enumeration June 21, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033430327
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2010
Last Update: March 08, 2026
Sole Proprietor: Yes

Mailing Address

4850 W Oakland Park Blvd Ste 224

Lauderdale Lakes, FL 333137261

Phone: 9548355863

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.