Urgent Care Center Of Port Orange Llc

NPI 1528499746 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1528499746
Enumeration Date 12/13/2013
Last Updated 12/13/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KENNY KENNY
Position VP OF OPERATIONS
Phone (386) 763-4919
Fax
Practice Location
1690 DUNLAWTON AVE
SUITE 120
PORT ORANGE FL, 32127-8979, US
Phone (386) 763-4919
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State Florida
License Number ME78370
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According to our database, Urgent Care Center Of Port Orange Llc NPI is 1528499746, taxonomy code is 332900000X and license number is ME78370, license state is located at Florida. Urgent Care Center Of Port Orange Llc physically located at 1690 Dunlawton Ave, Port Orange FL, 32127-8979. NPI Number 1033115704 has the healthcare provider type.

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1528499746 NPI number is provided on an as is basis without warranty of any kind. 1528499746 is maintained by the National Plan & Provider Enumeration System. The contents of Urgent Care Center Of Port Orange Llc are for informational purposes only.