Individual
EDDY DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1118 GRAYSON DR, ORLANDO, FL 32825-6724
(407) 701-3014
Mailing address
1118 GRAYSON DR, ORLANDO, FL 32825-6724
(407) 701-3014
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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