EAST VOLUSIA FAMILY PRACTICE PA

PORT ORANGE, FL
NPI1053384610
Entity TypeOrganization
Authorized ContactLANE E JENNINGS
President
386-322-0811
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-02-13
Last Update Date2008-07-09
Business Address
EAST VOLUSIA FAMILY PRACTICE PA
3911 S NOVA RD
PORT ORANGE, FL 32127-4910
Phone number: 386-322-0811
Mailing Address
EAST VOLUSIA FAMILY PRACTICE PA
3911 S NOVA RD
PORT ORANGE, FL 32127-4910
Phone number: 386-322-0811
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