Individual
MR. EDWARD ALLEN CAPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3680 AVALON PARK EAST BLVD STE 310, ORLANDO, FL 32828-9374
(407) 284-4362
(188) 841-3892
Mailing address
3680 AVALON PARK EAST BLVD STE 310, ORLANDO, FL 32828-9374
(407) 284-4362
(188) 841-3892
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20338
FL
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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