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Deactivated NPI 1255310009 Deactivated / Inactive NPI Male Practitioner

Dr. Edwin E Clizer , MD

Pathology - Anatomic Pathology & Clinical Pathology • Ormond Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edwin Clizer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2006
NPI Deactivation Date February 27, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Clizer, MD was a registered Pathology - Anatomic Pathology & Clinical Pathology practicing in Ormond Beach, FL. Throughout an active medical career spanning 12 years, Dr. Clizer provided care at the practice location at 565 MEMORIAL CIR until profile deactivation on 2018-02-27.

Practice Location & Contact Primary Location

Practice Address

565 Memorial Cir

Ormond Beach, FL 321745001

Telephone 3866725171
Fax 3866730942
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Ormond Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Ormond Beach, FL (1013 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

Medical Specialties & State Licenses

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

State License FL ME11622

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Steven Vangelder , LMHC

Counselor - Mental Health

NPI 1023102779

Licensed Mental Health Counselor

Dr. Scott Hollington , MD

Pathology - Clinical Informatics

NPI 1285981043

Doctor of Medicine (M.D.)

Dr. Temperance Thomas , EdD

Counselor - Professional

NPI 1437453784

Doctor of Education (Ed.D.)

Chhaya Johnson , MA

Counselor - Mental Health

NPI 1447269261

Master of Arts

Jahilia Wilson

Case Manager/Care Coordinator

NPI 1497227474
Wallace Shearon , LMFT

Counselor - Mental Health

NPI 1568422533

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 27, 2018

Record deactivated on February 27, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 565 MEMORIAL CIR, ORMOND BEACH, FL 321745001 (Tel: 3866725171)

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Updated Business Mailing Address July 08, 2007

Registered at 7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 334184204 (Tel: 5617126265)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDWIN CLIZER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pathology (License #ME11622 in FL)

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Initial NPI Registration & Enumeration January 11, 2006

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: 1255310009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: July 08, 2007
Deactivation Date: February 27, 2018

Mailing Address

7111 Fairway Dr, Suite 400

Palm Beach Gardens, FL 334184204

Phone: 5617126265

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.