Florida Institute Of Orofacial Myology, Llc

NPI 1730329509 - Clinic/Center - 261QD0000X

NPI Details
NPI 1730329509
Enumeration Date 03/05/2009
Last Updated 03/05/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BETH A BETH
Position OWNER
Phone (386) 846-8956
Fax (603) 687-4663
Practice Location
3930 S NOVA RD
PORT ORANGE FL, 32127-9281, US
Phone (386) 846-8956
Fax (603) 687-4663
Business Location
6059 SABAL CREEK BLVD
PORT ORANGE FL, 32128-7136, US
Phone (386) 846-8956
Fax (603) 687-4663
Toxanomy
Taxonomy Code 261QD0000X
License State Massachusetts
License Number 8897
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According to our database, Florida Institute Of Orofacial Myology, Llc NPI is 1730329509, taxonomy code is 261QD0000X and license number is 8897, license state is located at Massachusetts. Florida Institute Of Orofacial Myology, Llc physically located at 3930 S Nova Rd, Port Orange FL, 32127-9281. NPI Number 1033115704 has the healthcare provider type.

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1730329509 NPI number is provided on an as is basis without warranty of any kind. 1730329509 is maintained by the National Plan & Provider Enumeration System. The contents of Florida Institute Of Orofacial Myology, Llc are for informational purposes only.