Individual
MICHAEL SCOTT EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MICHAEL EDWARDS, 1452 ATLANTA DR, HOLLY HILL, FL 32117
(386) 274-8089
Mailing address
1530 CORNERSTONE BLVD STE 100, DAYTONA BEACH, FL 32117-7129
(386) 274-0341
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8004653202
—
FL
Enumeration date
10/19/2022
Last updated
10/19/2022
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