HA VAN, DC, PA

ORANGE CITY, FL
NPI1356614689
Entity TypeOrganization
Authorized ContactHA VAN
President
317-603-6457
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: FL  CH10183)
Enumeration Date2012-02-16
Last Update Date2012-02-16
Business Address
HA VAN, DC, PA
1656 S VOLUSIA AVE
ORANGE CITY, FL 32763-7335
Phone number: 386-917-0007
Mailing Address
HA VAN, DC, PA
1656 S VOLUSIA AVE
ORANGE CITY, FL 32763-7335
Phone number: 386-917-0007