| NPI Details | |
|---|---|
| NPI | 1023213469 |
| Enumeration Date | 06/16/2007 |
| Last Updated | 10/27/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | OLUBUKUNOLA COLLINS OLUBUKUNOLA |
| Position | PRESIDENT |
| Phone | (386) 226-3008 |
| Fax | (386) 226-3044 |
| Practice Location | |
|---|---|
| 984 ORANGE AVE DAYTONA BEACH FL, 32114-4667, US |
|
| Phone | (386) 226-3008 |
| Fax | (386) 226-3044 |
| Business Location | |
|---|---|
| 984 ORANGE AVE DAYTONA BEACH FL, 32114-4667, US |
|
| Phone | (386) 226-3008 |
| Fax | (386) 226-3044 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261Q00000X |
| License State | |
| License Number | |
| Remove 1023213469 NPI Number | |
According to our database, Kemshol Medical Center Pa NPI is 1023213469, taxonomy code is 261Q00000X Kemshol Medical Center Pa physically located at 984 Orange Ave, Daytona Beach FL, 32114-4667. NPI Number 1033115704 has the healthcare provider type.
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1023213469 NPI number is provided on an as is basis without warranty of any kind. 1023213469 is maintained by the National Plan & Provider Enumeration System. The contents of Kemshol Medical Center Pa are for informational purposes only.
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