Individual
ERIC EDGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
29901 US HIGHWAY 19 N, CLEARWATER, FL 33761-1041
(727) 286-6203
(727) 286-6204
Mailing address
29901 US HIGHWAY 19 N, CLEARWATER, FL 33761-1041
(727) 286-6203
(727) 286-6204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12323896
CAQH
FL
01
—
220HD
BCBS
FL
Enumeration date
09/14/2011
Last updated
11/15/2013
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