Individual
DR. DAVID R EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1318 E VINE ST, KISSIMMEE, FL 34744-3624
(407) 935-9091
Mailing address
623 CAREY WAY, ORLANDO, FL 32825-6916
(407) 468-3857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1732
AL
111N00000X
Chiropractor
Primary
CH7128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55627
BLUECROSSBLUESHIELD
FL
01
—
606780
UNITED HEALTH CARE
FL
Enumeration date
01/29/2007
Last updated
03/10/2009
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