Saltwater Family Practice | |
305 Clyde Morris Blvd Ste 200 Ormond Beach FL 32174-8182 | |
(386) 281-0939 | |
Not Available |
Full Name | Saltwater Family Practice |
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Speciality | Clinic/center - Primary Care |
Location | 305 Clyde Morris Blvd Ste 200, Ormond Beach, Florida |
Authorized Official Name and Position | Andrea Lee Mercado (APRN) |
Authorized Official Contact | 3862810939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Saltwater Family Practice 156 Tuscany Bend St Daytona Beach FL 32117-5545 Ph: (386) 281-0939 | Saltwater Family Practice 305 Clyde Morris Blvd Ste 200 Ormond Beach FL 32174-8182 Ph: (386) 281-0939 |
NPI Number | 1952900953 |
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Provider Enumeration Date | 10/21/2020 |
Last Update Date | 10/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952900953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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James E Mcdonnell Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174 Phone: 386-677-6727 Fax: 386-677-3211 | |
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