| NPI | 1831234160 |
|---|---|
| Doing Business As | DELTONA FOUNTAINS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAMELA PEARSON HALL Vice President 386-860-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-08-18 |