Edmonds, Christian Jerrard

Edmonds, Christian Jerrard is an sole proprietor health care provider with primary practice located at 11721 Mango Groves Blvd , Seffner FL 33584-6405. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Edmonds, Christian Jerrard can be contacted via phone (813) 500-8919.

Contact Information

Primary practice address
11721 Mango Groves Blvd Seffner FL 33584-6405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 112858700 Florida

Profile Details

NPI number 1063167658
LBN Legal business name Edmonds, Christian Jerrard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2022
Last updated Feb 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers