Individual
EDITH MARIE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5379 N PRINCEWOOD DR, BEVERLY HILLS, FL 34465-2425
(352) 223-3959
Mailing address
5379 N PRINCEWOOD DR, BEVERLY HILLS, FL 34465-2425
(135) 223-3959
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
P626213706240
FL
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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