| Embry-riddle Aeronautical University, Inc. | |
|
600 S Clyde Morris Blvd Daytona Beach FL 32114-3966 | |
| (386) 226-7912 | |
| Not Available |
| Full Name | Embry-riddle Aeronautical University, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 600 S Clyde Morris Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Marianne Baskin (DIRECTOR) |
| Authorized Official Contact | 3862267912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embry-riddle Aeronautical University, Inc. 600 S Clyde Morris Blvd Daytona Beach FL 32114-3966 Ph: (386) 226-7912 | Embry-riddle Aeronautical University, Inc. 600 S Clyde Morris Blvd Daytona Beach FL 32114-3966 Ph: (386) 226-7912 |
| NPI Number | 1679097307 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7618381674 |
|---|---|
| Medicare Enrollment ID | O20210202003076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679097307 | NPI | - | NPPES |
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