Advanced Health Care Physical Medicine,llc
General Practice in Ormond Beach, FL. Organization (NPI-2).
NPI number1063787331
StatusActive
Last updated in NPPESMar 27, 2013
Details
- NPI
- 1063787331
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Health Care Physical Medicine,llc
- Organization subpart
- No
- Enumeration date
- Mar 20, 2012
- Last updated
- Mar 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ME60233 | FL | Yes |
Practice location
801 W Granada BlvdSuite 101
Ormond Beach, FL 32174-8114
Phone 386-673-2000 · Fax 386-673-2002
Mailing address
801 W Granada BlvdSuite 101
Ormond Beach, FL 32174-8114
Phone 386-673-2000 · Fax 386-673-2002
Authorized official
Hui Lin O'Connor
Office Manager
3866732000
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