MARY-ELLEN ADELE EDMISTON

LAKELAND, FL
NPI1427477470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207QH0002X Family Medicine, Hospice and Palliative Medicine
(Licence: FL  OS16990)
Enumeration Date2014-04-07
Last Update Date2020-07-27
Business Address
Mrs. MARY-ELLEN ADELE EDMISTON
3470 LAKELAND HILLS BLVD
LAKELAND, FL 33805-1946
Phone number: 863-682-0027
Mailing Address
Mrs. MARY-ELLEN ADELE EDMISTON
12470 TELECOM DR STE 300W
TEMPLE TERRACE, FL 33637-0904
Phone number: 813-871-8183
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