Individual
EDNER THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4670 S ORANGE BLOSSOM TRL, ORLANDO, FL 32839-1706
(407) 851-8810
(407) 851-9910
Mailing address
4760 S. ORANGE BLOSSOM TRL., ORLANDO, FL 32839-1706
(407) 851-8810
(407) 851-9910
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH8072
FL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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