Most Relevant Information
Provider Data
NPI Number: | 1003218066 |
Provider Name: | ALEXANDRA EDWARDS |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/22/2014 |
Last Updated: | 09/22/2014 |
Provider Practice Location
2001 BLUE HERON BLVD W
RIVIERA BEACH
FL
334045003
Practice Location Phone/Fax
Phone: | 5618413500 |
Fax: | 5618413555 |
Provider Mailing Location
2001 BLUE HERON BLVD W
RIVIERA BEACH
FL
334045003
Provider Mailing Phone/Fax
Phone: | 5618413500 |
Fax: | 5618413555 |