Provider Demographics
NPI:1922175009
Name:MCNAMARA, EDWARD S (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:S
Last Name:MCNAMARA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 N PINE HILLS RD
Mailing Address - Street 2:STE. A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-4424
Mailing Address - Country:US
Mailing Address - Phone:407-574-6818
Mailing Address - Fax:
Practice Address - Street 1:1437 N PINE HILLS RD
Practice Address - Street 2:STE. A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4424
Practice Address - Country:US
Practice Address - Phone:407-574-6818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor