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Shane Edwards

NPI 1962037648 · on the registry since 2020

Practice

Address: 8875 Hidden River Pkwy Ste 318
Tampa, FL 33637
Phone: (813) 367-2067
Organisation at this address: Rehabmed South
Stolter Care Llc
Galore Media, Llc
Namaste Psychiatry
Nurse Pro Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Assistant Behavior Analyst
106E00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-03-03

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