| NPI | 1477972271 |
|---|---|
| Doing Business As | FAMILY PRACTICE OF WEST VOLUSIA- ORANGE CITY |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL OS6029) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |