| Island Doctors Of New Smyrna Beach Llc | |
|
406 Palmetto St Suite A New Smyrna FL 32168-7323 | |
| (954) 318-6590 | |
| (954) 318-6604 |
| Full Name | Island Doctors Of New Smyrna Beach Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 406 Palmetto St, New Smyrna, Florida |
| Authorized Official Name and Position | Jeffrey P Dudley (COO) |
| Authorized Official Contact | 9543186590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Doctors Of New Smyrna Beach Llc 406 Palmetto St Suite A New Smyrna FL 32168-7323 Ph: (954) 318-6590 | Island Doctors Of New Smyrna Beach Llc 406 Palmetto St Suite A New Smyrna FL 32168-7323 Ph: (954) 318-6590 |
| NPI Number | 1679898605 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679898605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Island Doctors Of New Smyrna Beach Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Palmetto St, Suite A, New Smyrna, FL 32168 Phone: 386-423-1212 Fax: 386-423-5730 |