Individual
DR. ELAINA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1140 SE 3RD AVE, FORT LAUDERDALE, FL 33316-1110
(954) 764-8505
Mailing address
3199 FAIRWAY CIR, DAVIE, FL 33328-1941
(754) 224-6887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10644
FL
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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