Individual
MRS. FREDA MARIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 ORMOND AVE., PANAMA CITY, FL 32405
(850) 763-1117
(850) 763-1117
Mailing address
2425 ORMOND AVE., PANAMA CITY, FL 32405
(850) 763-1117
(850) 763-1117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
674784196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674184196
—
FL
Enumeration date
01/06/2011
Last updated
01/06/2011
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