| Hardchoices Llc | |
|
2583 S Volusia Ave Ste 200 Orange City FL 32763-9129 | |
| (386) 960-7830 | |
| (386) 960-7833 |
| Full Name | Hardchoices Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2583 S Volusia Ave Ste 200, Orange City, Florida |
| Authorized Official Name and Position | James Lewis Fenley (OWNER) |
| Authorized Official Contact | 3869607830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardchoices Llc 1895 Phoenix Blvd Suite 338 College Park GA 30349-5592 Ph: (678) 604-0891 | Hardchoices Llc 2583 S Volusia Ave Ste 200 Orange City FL 32763-9129 Ph: (386) 960-7830 |
| NPI Number | 1740475052 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740475052 | NPI | - | NPPES |
| 11BDLZQ | Other | GA | MEDICARE UNSPEC. |
| 05500293A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME-122760 (* (Not Available)) | Primary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
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