| NPI | 1346512837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC EDGERTON Owner 727-286-6203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS5939) |
| 207Q00000X Family Medicine (Licence: FL ME36242) | |
| 207Q00000X Family Medicine (Licence: FL ME79221) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9266947) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP3356552) | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2013-11-07 |