| Delmar Glen Pack Pa | |
|
810 Briarwood Ct Orange City FL 32763-4319 | |
| (386) 956-1689 | |
| Not Available |
| Full Name | Delmar Glen Pack Pa |
|---|---|
| Speciality | Psychologist |
| Location | 810 Briarwood Ct, Orange City, Florida |
| Authorized Official Name and Position | Corinne Zimmerman (ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 9543662700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delmar Glen Pack Pa 810 Briarwood Ct Orange City FL 32763-4319 Ph: () - | Delmar Glen Pack Pa 810 Briarwood Ct Orange City FL 32763-4319 Ph: (386) 956-1689 |
| NPI Number | 1609316272 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 03/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609316272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6914 (Florida) | Primary |
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