Individual
WILMIDE EDOUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOLE PROPRIETOR
Contact information
Practice address
3215 TURTLE CV, WEST PALM BEACH, FL 33411-6467
(561) 932-7566
Mailing address
3215 TURTLE CV, WEST PALM BEACH, FL 33411-6467
(561) 932-7566
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
239090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34233
—
FL
Enumeration date
10/11/2023
Last updated
10/11/2023
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