Individual
ROBERT EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 3RD ST, DAYTONA BEACH, FL 32117-4101
(386) 252-3686
Mailing address
3 ZERINGTON CT, PALM COAST, FL 32164-5235
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA12852
FL
Other
Enumeration date
04/20/2014
Last updated
04/20/2014
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