| Northeast Florida Health Services, Inc. | |
|
1200 Deltona Blvd Ste 40a Deltona FL 32725-6386 | |
| (386) 202-6025 | |
| (386) 202-1755 |
| Full Name | Northeast Florida Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1200 Deltona Blvd Ste 40a, Deltona, Florida |
| Authorized Official Name and Position | Laurie Asbury (CEO) |
| Authorized Official Contact | 3867499449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Florida Health Services, Inc. 1205 S Woodland Blvd Ste 3 Deland FL 32720-7464 Ph: (386) 202-6025 | Northeast Florida Health Services, Inc. 1200 Deltona Blvd Ste 40a Deltona FL 32725-6386 Ph: (386) 202-6025 |
| NPI Number | 1164196861 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164196861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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