BRENT ANDREW EDWARDS

LAKE CITY, FL
NPI1275207607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  30593)
Enumeration Date2021-08-09
Last Update Date2021-08-09
Business Address
BRENT ANDREW EDWARDS
560 SW MCFARLANE AVE FL 32025
LAKE CITY, FL 32025-5614
Phone number: 386-758-4777
Mailing Address
BRENT ANDREW EDWARDS
6542 SW OLD WIRE RD
FORT WHITE, FL 32038-4089
Phone number: 352-231-5377