Individual
MR. FLOYD EDENBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3663 CHELTON RD, SHAKER HTS, OH 44120-5065
(216) 450-8090
Mailing address
3663 CHELTON RD, SHAKER HTS, OH 44120-5065
(216) 450-8090
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
SC363452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SC363452
—
OH
Enumeration date
11/02/2020
Last updated
11/02/2020
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