NPI Details | |
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NPI | 1023213469 |
Enumeration Date | 06/16/2007 |
Last Updated | 10/27/2007 |
Entity Type | Healthcare Provider |
Active | Over 10 years ago |
Authorized Information | |
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Name | OLUBUKUNOLA COLLINS OLUBUKUNOLA |
Position | PRESIDENT |
Phone | (386) 226-3008 |
Fax | (386) 226-3044 |
Practice Location | |
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984 ORANGE AVE DAYTONA BEACH FL, 32114-4667, US |
|
Phone | (386) 226-3008 |
Fax | (386) 226-3044 |
Business Location | |
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984 ORANGE AVE DAYTONA BEACH FL, 32114-4667, US |
|
Phone | (386) 226-3008 |
Fax | (386) 226-3044 |
Toxanomy | |
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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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