Individual
RICHARD EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 SE AMMONS AVE, MADISON, FL 32340-3091
(850) 253-3732
(850) 973-6663
Mailing address
234 SE AMMONS AVE, MADISON, FL 32340-3091
(850) 673-9897
(850) 973-6663
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
675539900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675539900
—
FL
Enumeration date
03/14/2014
Last updated
03/14/2014
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