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Christian Edmonds

NPI 1063167658 · on the registry since 2022 · sole proprietor

Practice

Address
11721 Mango Groves Blvd
Seffner, FL 33584
Phone
(813) 500-8919

Registry record

Primary taxonomy
261QD1600X
261QD1600X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida