Individual
CAROLYN EDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
699 S INDIANA AVE, ENGLEWOOD, FL 34223-3705
(941) 474-8811
Mailing address
1514 NIRA ST, JACKSONVILLE, FL 32207-8652
(904) 387-4991
(904) 384-3613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9107110
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9107110
FL
Other
Enumeration date
02/25/2013
Last updated
08/05/2020
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