West Volusia Family And Sports Medicine Inc

NPI 1548584600 - Family Medicine - 207Q00000X

NPI Details
NPI 1548584600
Enumeration Date 03/18/2010
Last Updated 07/26/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOHN JOHN
Position OWNER / PROVIDER
Phone (386) 774-0016
Fax
Practice Location
742 N VOLUSIA AVE
ORANGE CITY FL, 32763-4857, US
Phone (386) 774-0016
Fax
Business Location
PO BOX 23764
TAMPA FL, 33623-3764, US
Phone (727) 823-2188
Fax (727) 828-0723
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME93242
Remove 1548584600 NPI Number
 

According to our database, West Volusia Family And Sports Medicine Inc NPI is 1548584600, taxonomy code is 207Q00000X and license number is ME93242, license state is located at Florida. West Volusia Family And Sports Medicine Inc physically located at 742 N Volusia Ave, Orange City FL, 32763-4857. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1548584600 NPI number is provided on an as is basis without warranty of any kind. 1548584600 is maintained by the National Plan & Provider Enumeration System. The contents of West Volusia Family And Sports Medicine Inc are for informational purposes only.