Florida Injury Medical Centers
Clinic/Center in Debary, FL. Organization (NPI-2).
NPI number1124583166
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1124583166
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Injury Medical Centers
- Organization subpart
- No
- Enumeration date
- Feb 4, 2019
- Last updated
- Feb 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
432 N Pine Meadow DrDebary, FL 32713-2306
Phone 386-742-7312
Mailing address
432 N Pine Meadow DrDebary, FL 32713-2306
Phone 386-742-7312
Authorized official
Kevin Dale Huffman
Owner
3867427312
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