Individual provider · Type 1 NPI

Elijah Edwards Jr.

Student in an Organized Health Care Education/Training Program · Tallahassee, FL

NPI number 1104737634 Active

Practice location

1367 E Lafayette St
Tallahassee, FL 32301-4774

Call (229) 206-4901 Map

Mailing address

1367 E Lafayette St Ste C
Tallahassee, FL 32301-4769

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104737634

Elijah Edwards Jr.'s National Provider Identifier is 1104737634, issued on Sep 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tallahassee, FL. The record was last updated on Sep 21, 2026.