WINSTON EDISON LIGHTBURN

ORANGE CITY, FL
NPI1598791964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ME93183)
Enumeration Date2006-06-25
Last Update Date2007-12-04
Business Address
-- WINSTON EDISON LIGHTBURN MD
1055 SAXON BLVD
ORANGE CITY, FL 32763-8468
Phone number: 386-943-4522
Mailing Address
-- WINSTON EDISON LIGHTBURN MD
PO BOX 9430
DAYTONA BEACH, FL 32120-9430
Phone number:
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