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1700206547
ROBERT EDDY
DAYTONA BEACH, FL
NPI
1700206547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: FL OTA12852)
Enumeration Date
2014-04-20
Last Update Date
2014-04-20
Business Address
-- ROBERT EDDY
1055 3RD ST
DAYTONA BEACH, FL 32117-4101
Phone number: 386-252-3686
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Mailing Address
-- ROBERT EDDY
3 ZERINGTON CT
PALM COAST, FL 32164-5235
Phone number:
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