Individual
MR. EDWARD JAMES MINCEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5021 LIGHTHOUSE RD, ORLANDO, FL 32808-1623
(407) 209-8521
Mailing address
5021 LIGHTHOUSE RD, ORLANDO, FL 32808-1623
(407) 209-8521
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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