New Smyrna Beach Ambulatory Care Center

NPI 1497891501 - Clinic/Center - 261QA1903X

NPI Details
NPI 1497891501
Enumeration Date 01/29/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK MARK
Position MEDICAL DIRECTOR
Phone (383) 423-5500
Fax (386) 409-9762
Practice Location
612 PALMETTO ST
NEW SMYRNA BEACH FL, 32168-7327, US
Phone (383) 423-5500
Fax (386) 409-9762
Business Location
612 PALMETTO ST
NEW SMYRNA BEACH FL, 32168-7327, US
Phone (383) 423-5500
Fax (386) 409-9762
Toxanomy
Taxonomy Code 261QA1903X
License State Florida
License Number 1017
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According to our database, New Smyrna Beach Ambulatory Care Center NPI is 1497891501, taxonomy code is 261QA1903X and license number is 1017, license state is located at Florida. New Smyrna Beach Ambulatory Care Center physically located at 612 Palmetto St, New Smyrna Beach FL, 32168-7327. NPI Number 1033115704 has the healthcare provider type.

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1497891501 NPI number is provided on an as is basis without warranty of any kind. 1497891501 is maintained by the National Plan & Provider Enumeration System. The contents of New Smyrna Beach Ambulatory Care Center are for informational purposes only.