VERDURE EXCLUSIVE PA

PORT ORANGE, FL
NPI1295221711
Doing Business AsANGELIC LIFT
Entity TypeOrganization
Authorized ContactTINUADE OLUSEGUN
Owner
386-855-8633
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2018-07-09
Last Update Date2022-12-13
Business Address
VERDURE EXCLUSIVE PA
4645 CLYDE MORRIS BLVD STE 404
PORT ORANGE, FL 32129-3005
Phone number: 386-855-8633
Mailing Address
VERDURE EXCLUSIVE PA
4645 CLYDE MORRIS BLVD STE 404
PORT ORANGE, FL 32129-3005
Phone number: 386-855-8633