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1275657561
THEODORE E. EDIS
PALM BEACH GARDENS, FL
NPI
1275657561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101018288)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Dr. THEODORE E. EDIS
400 EAGLETON COVE WAY
PALM BEACH GARDENS, FL 33418-8456
Phone number: 561-775-1981
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Mailing Address
Dr. THEODORE E. EDIS
400 EAGLETON COVE WAY
PALM BEACH GARDENS, FL 33418-8456
Phone number: 561-775-1981
Copy
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