Organization · NPI-2

Arbor Vitae Natural Health Care, LLC

Clinic/Center · Daytona Beach, FL

NPI number1811289358
StatusActive
Last updated in NPPESMay 3, 2011

Details

NPI
1811289358
Entity type
Organization (NPI-2)
Legal business name
Arbor Vitae Natural Health Care, LLC
Organization subpart
No
Enumeration date
May 3, 2011
Last updated
May 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterCH2533FLYes
261Q00000X Clinic/CenterCH6374FL

Practice location

116 Bay St
Daytona Beach, FL 32114-3234

Phone 386-453-5946

Mailing address

700 Largo Way
South Daytona, FL 32129-4103

Phone 386-453-5946

Authorized official

Leonard Stephen Grand
Partner
38645359466

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