Individual
ANDREW EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
5650 BOLLETTIERI BLVD, BRADENTON, FL 34210
(941) 739-7491
Mailing address
4550 47TH ST W, BRADENTON, FL 34210-2888
(941) 920-2776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5400
FL
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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