MEDICARE: EDITA INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1801480587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDITA INCORPORATED

Provider Business Mailing Address
First Line	:	1904 HARDING ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-2429
Country	:	US
Telephone Number	:	813-540-2457
Fax Number	:

Provider Business Practice Location Address
First Line	:	7620 HICKMAN RD
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-4510
Country	:	US
Telephone Number	:	515-650-3005
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	CHARLES SAMUEL SCAVO
Credential	:
Telephone Number	:	813-540-2457

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	02/23/2021

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Directions to “EDITA INCORPORATED ” Practice Location

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