Anderson, Edgar Leopold

Anderson, Edgar Leopold is an sole proprietor health care provider with primary practice located at 1690 Dunlawton Ave Ste 125 , Port Orange FL 32127-8980. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Registered Nurse is his primary health care specialty. Anderson, Edgar Leopold can be contacted via phone (386) 793-5743.

Contact Information

Primary practice address
1690 Dunlawton Ave Ste 125 Port Orange FL 32127-8980
Phone: (386) 793-5743
Fax: (386) 246-3661
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 9229694 Florida
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN 9229694 Florida

Profile Details

NPI number 1437403730
LBN Legal business name Anderson, Edgar Leopold
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2012
Last updated Nov 10th, 2012 - about 14 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.

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