CENTURY CLINICAL FAMILY MEDICINE, LLC.

DAYTONA BEACH, FL
NPI1710211289
Entity TypeOrganization
Authorized ContactTHOMAS L GASKIN
CFO
386-274-4750
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9211084)
Enumeration Date2009-09-30
Last Update Date2009-11-04
Business Address
CENTURY CLINICAL FAMILY MEDICINE, LLC.
1410 LPGA BLVD STE. 140
DAYTONA BEACH, FL 32117-5115
Phone number: 386-274-4750
Mailing Address
CENTURY CLINICAL FAMILY MEDICINE, LLC.
1410 LPGA BLVD STE. 140
DAYTONA BEACH, FL 32117-5115
Phone number: 386-274-4750