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1700064102
SPRUCE CREEK FAMILY CARE
PORT ORANGE, FL
NPI
1700064102
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Entity Type
Organization
Authorized Contact
MICHELLE CAVANAUGH
Billing Mgr
386-274-5712
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
SPRUCE CREEK FAMILY CARE
3875 S NOVA RD
PORT ORANGE, FL 32127-4950
Phone number: 386-322-9244
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Mailing Address
SPRUCE CREEK FAMILY CARE
3875 S NOVA RD
PORT ORANGE, FL 32127-4950
Phone number:
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