Edward Waller JR.
NPI #1811387178 in Plant City, Florida
Provider Information
- NPI Number
- 1811387178
- Entity Type
- Individual
- Name
- Edward Waller JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 26, 2015
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 1001 E BAKER ST
- Address 2
- SUITE100
- City
- Plant City
- State
- Florida
- ZIP Code
- 33563-3700
- Phone
- (813) 754-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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