Individual
MARIA ESTELA EDWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 GEORGIA AVE, WEST PALM BEACH, FL 33405-1832
(561) 577-1620
(561) 650-8058
Mailing address
1760 KELSO AVE, LAKE WORTH, FL 33460-6036
(561) 577-1620
(561) 650-8058
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693621196
—
FL
05
—
812140100
—
FL
Enumeration date
06/26/2007
Last updated
05/14/2008
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