| NPI | 1346752755 |
|---|---|
| Doing Business As | HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC |
| Entity Type | Organization |
| Authorized Contact | AMANDA GONZALEZZ Ncpdp COO Rdinator 479-636-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL OS9696) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |