Search › Florida › 163W00000X
Idongesit Edet
NPI 1922411388 · on the registry since 2014 · sole proprietor
Practice
- Address
- 11630 Balintore Dr
Riverview, FL 33579 - Phone
- (813) 616-0446
Additional practice sites
- 219 Surf Dr, Bronx, NY
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163W00000X
- Licence states on file
- NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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