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1316647050
NORTHWEST FAMILY HEALTH CENTER II, LLC
DAYTONA BEACH, FL
NPI
1316647050
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Entity Type
Organization
Authorized Contact
GARRY BEAUBRUN ANTOINE
President & CEO
845-821-1291
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
NORTHWEST FAMILY HEALTH CENTER II, LLC
1630 MASON AVE STE B
DAYTONA BEACH, FL 32117-4503
Phone number: 386-888-4006
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Mailing Address
NORTHWEST FAMILY HEALTH CENTER II, LLC
PO BOX 951306
LAKE MARY, FL 32795-1306
Phone number: 386-888-4006
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