There Care, Pa

NPI 1205265659 - Family Medicine - 207Q00000X

NPI Details
NPI 1205265659
Enumeration Date 11/06/2013
Last Updated 11/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SAMUEL DOUGLAS SAMUEL
Position PRESIDENT
Phone (386) 366-0191
Fax (386) 673-3210
Practice Location
334 MILITARY BLVD
ORMOND BEACH FL, 32174-6019, US
Phone (386) 366-0191
Fax (386) 673-3210
Business Location
226 N NOVA RD
SUITE 383
ORMOND BEACH FL, 32174-5124, US
Phone (386) 366-0191
Fax (386) 673-3210
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME107699
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According to our database, There Care, Pa NPI is 1205265659, taxonomy code is 207Q00000X and license number is ME107699, license state is located at Florida. There Care, Pa physically located at 334 Military Blvd, Ormond Beach FL, 32174-6019. NPI Number 1033115704 has the healthcare provider type.

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1205265659 NPI number is provided on an as is basis without warranty of any kind. 1205265659 is maintained by the National Plan & Provider Enumeration System. The contents of There Care, Pa are for informational purposes only.