Antavian Edison
Antavian Edison is a Social Worker in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2019.
- Licensed in
- FL
- In the registry since
- 2019
Practice location Address checks out
2789 Ortiz AveFort Myers, FL 33905-7806
Phone: (239) 275-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X (FL) |
|---|
Record details
| NPI number | 1063074292 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 9, 2019 |
| Last updated in NPPES | July 9, 2019 |
| Mailing address | 3763 Evans Ave, Fort Myers, FL 33901-9302 |
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