Individual
ANGE EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
5248 SHAKAR CIR, ORLANDO, FL 32808-1462
(407) 253-7224
(407) 253-3783
Mailing address
PO BOX 593377, ORLANDO, FL 32859-3377
(407) 253-7224
(407) 253-3783
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
FL
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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