EDNER THEODORE

ORLANDO, FL
NPI1649308180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111NR0400X 
(Licence: FL  CH8072)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
-- EDNER THEODORE D.O.
4670 S ORANGE BLOSSOM TRL
ORLANDO, FL 32839-1706
Phone number: 407-851-8810
Mailing Address
-- EDNER THEODORE D.O.
4760 S. ORANGE BLOSSOM TRL.
ORLANDO, FL 32839-1706
Phone number: 407-851-8810
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