Fleta Medical Care Center, Llc | |
2089 S Ridgewood Ave South Daytona FL 32119-2240 | |
(386) 767-7533 | |
Not Available |
Full Name | Fleta Medical Care Center, Llc |
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Speciality | Family Medicine |
Location | 2089 S Ridgewood Ave, South Daytona, Florida |
Authorized Official Name and Position | Patrick John Larrazabal (AR/ PROVIDER) |
Authorized Official Contact | 3863341295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fleta Medical Care Center, Llc 500 Memorial Cir Suite A Ormond Beach FL 32174-5071 Ph: (386) 334-1295 | Fleta Medical Care Center, Llc 2089 S Ridgewood Ave South Daytona FL 32119-2240 Ph: (386) 767-7533 |
NPI Number | 1871991539 |
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Provider Enumeration Date | 12/11/2014 |
Last Update Date | 12/11/2014 |
Identifier | Type | State | Issuer |
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1871991539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Ano & Ano Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2089 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-761-5682 Fax: 386-760-4142 | |
Gohar S. Khan, M.d., P,a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Beville Rd, South Daytona, FL 32119 Phone: 386-767-9000 Fax: 386-767-3761 | |
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