| Neo Matrix | |
|
290 Clyde Morris Blvd Ste D1 Ormond Beach FL 32174-8204 | |
| (855) 628-7495 | |
| (407) 502-3608 |
| Full Name | Neo Matrix |
|---|---|
| Speciality | Clinic/center |
| Location | 290 Clyde Morris Blvd Ste D1, Ormond Beach, Florida |
| Authorized Official Name and Position | Maria Daily (OFFICE MANAGER) |
| Authorized Official Contact | 8556287495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neo Matrix 290 Clyde Morris Blvd Ste D1 Ormond Beach FL 32174-8204 Ph: (855) 628-7495 | Neo Matrix 290 Clyde Morris Blvd Ste D1 Ormond Beach FL 32174-8204 Ph: (855) 628-7495 |
| NPI Number | 1396386322 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396386322 | NPI | - | NPPES |
| 19017 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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