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

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