Individual
DR. EDWARD DEE VICKERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1116 BILLY MARTIN RD, AVON PARK, FL 33825-4858
(863) 453-0684
(863) 453-2873
Mailing address
PO BOX 150, AVON PARK, FL 33826-0150
(863) 453-0684
(863) 453-2873
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 5189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380135700
—
FL
Enumeration date
03/14/2006
Last updated
06/29/2010
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