Individual
BRIAN MICHAEL EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8430 ENTERPRISE CIRCLE, SUITE 120, LAKEWOOD RANCH, FL 34202-5137
(941) 907-9663
(941) 907-6663
Mailing address
8430 ENTERPRISE CIRCLE, SUITE 120, LAKEWOOD RANCH, FL 34202-5137
(941) 907-9663
(941) 907-6663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002413069
UNITED HEALTH CARE
FL
01
—
55950
BCBS
FL
Enumeration date
09/06/2006
Last updated
02/02/2012
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