Individual
MRS. IDIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 BILL FRANCE BLVD STE 200, DAYTONA BEACH, FL 32114-1316
(386) 206-8071
Mailing address
401 BAYBERRY LAKES BLVD, DAYTONA BEACH, FL 32124-3626
(386) 274-4751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9279350
FL
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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