Individual
BRENT ANDREW EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 SW MCFARLANE AVE FL 32025, LAKE CITY, FL 32025-5614
(386) 758-4777
Mailing address
6542 SW OLD WIRE RD, FORT WHITE, FL 32038-4089
(352) 231-5377
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30593
FL
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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