Individual
EDWARD WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7133
Mailing address
683 HAWKS TRACE DR, JACKSONVILLE, FL 32225-5401
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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