JENNY EDWARDS, PLLC

Contacts

Phone	+1 813-545-9081

Authorized person

Name	DR. JENNY ANNE EDWARDS
Role	MGRM
Phone	8135459081

Taxonomy

Taxonomy Code	1223P0221X - Pediatric Dentist
License Number	DN19077
State	FL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	8135300111
Plan sponsor’s address	3433 LITHIA PINECREST RD. #103, VALRICO, FL, 33596

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	8135300111
Plan sponsor’s address	3433 LITHIA PINECREST RD. #103, VALRICO, FL, 33596

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	8135300111
Plan sponsor’s address	3433 LITHIA PINECREST RD. #103, VALRICO, FL, 33596

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	8135300111
Plan sponsor’s address	3433 LITHIA PINECREST RD. #103, VALRICO, FL, 33596