| Outreach Health Incorporated | |
|
240 N Frederick Ave Daytona Beach FL 32114-3400 | |
| (386) 255-5569 | |
| (386) 257-1245 |
| Full Name | Outreach Health Incorporated |
|---|---|
| Speciality | General Practice |
| Location | 240 N Frederick Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Chester Lee Wilson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3866750098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Health Incorporated 240 N Frederick Ave Daytona Beach FL 32114-3400 Ph: (386) 255-5569 | Outreach Health Incorporated 240 N Frederick Ave Daytona Beach FL 32114-3400 Ph: (386) 255-5569 |
| NPI Number | 1528699352 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528699352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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