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1114012622
ROSS BLAINE EDMUNDSON
ORLANDO, FL
NPI
1114012622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME 46122)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. ROSS BLAINE EDMUNDSON M.D.
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-303-8558
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Mailing Address
Dr. ROSS BLAINE EDMUNDSON M.D.
357 BRANTLEY CLUB PLACE
LONGWOOD, FL 32779
Phone number: 407-788-3839
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