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Etheldra Edwards

NPI 1942777875 · on the registry since 2018

Practice

Address
16615 Vallely Dr
Tampa, FL 33618
Phone
(314) 494-3469

Additional practice sites

  • 12470 Telecom Dr Ste 300w, Temple Terrace, FL

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-14

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