SOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC

ORMOND BEACH, FL
NPI1871108274
Entity TypeOrganization
Authorized ContactHOPE A KING
Owner/Ap RN
407-590-0377
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2020-09-11
Last Update Date2020-09-11
Business Address
SOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC
533 N NOVA RD STE 209
ORMOND BEACH, FL 32174-4422
Phone number: 407-590-0377
Mailing Address
SOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC
490 N YONGE ST
ORMOND BEACH, FL 32174-5252
Phone number: 407-590-0377