| Arbor Vitae Natural Health Care, Llc | |
|
116 Bay St Daytona Beach FL 32114-3234 | |
| (386) 453-5946 | |
| Not Available |
| Full Name | Arbor Vitae Natural Health Care, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 116 Bay St, Daytona Beach, Florida |
| Authorized Official Name and Position | Leonard Stephen Grand (PARTNER) |
| Authorized Official Contact | 38645359466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arbor Vitae Natural Health Care, Llc 700 Largo Way South Daytona FL 32129-4103 Ph: (386) 453-5946 | Arbor Vitae Natural Health Care, Llc 116 Bay St Daytona Beach FL 32114-3234 Ph: (386) 453-5946 |
| NPI Number | 1811289358 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811289358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH2533 (Florida) | Primary |
| 261Q00000X | Clinic/center | CH6374 (Florida) | Secondary |
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