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118 Cedar St Daytona Beach FL 32114 | |
| (855) 453-7539 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 118 Cedar St, Daytona Beach, Florida |
| Authorized Official Name and Position | Kesley Crawford (CEO) |
| Authorized Official Contact | 9048316992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
118 Cedar St Daytona Beach FL 32114-4904 Ph: (855) 453-7539 | 118 Cedar St Daytona Beach FL 32114 Ph: (855) 453-7539 |
| NPI Number | 1346710837 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346710837 | NPI | - | NPPES |
| KZ537 | Other | CLINICAL/GROUP PRACTICE | |
| LD296 | Other | PT/OT/SP |
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