Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theodore E. Edis

Individual provider Psychiatry Physician · NPI 1275657561

Dr. Theodore E. Edis is a Psychiatry Physician in Palm Beach Gardens, Florida. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007

Practice location Address checks out

400 Eagleton Cove Way
Palm Beach Gardens, FL 33418-8456
Phone: (561) 775-1981
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0101018288 (VA)

Record details

NPI number1275657561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing address400 Eagleton Cove Way, Palm Beach Gardens, FL 33418-8456

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