Individual
MR. EDDIE L. BANKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2724 SILKWOOD CIR., 927, ORLANDO, FL 32818
(407) 580-3872
Mailing address
2724 SILKWOOD CIR, 927, ORLANDO, FL 32818-3381
(407) 580-3872
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
171W00000X
Contractor
—
—
252Y00000X
Early Intervention Provider Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
07/21/2022
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