| Senior Health Care Of Volusia | |
|
405 N Clyde Morris Blvd Daytona Beach FL 32114-2730 | |
| (386) 257-1626 | |
| (386) 254-7507 |
| Full Name | Senior Health Care Of Volusia |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 405 N Clyde Morris Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Kenneth J Lucas (OWNER) |
| Authorized Official Contact | 3862571626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Health Care Of Volusia 405 N Clyde Morris Blvd Daytona Beach FL 32114-2730 Ph: (386) 257-1626 | Senior Health Care Of Volusia 405 N Clyde Morris Blvd Daytona Beach FL 32114-2730 Ph: (386) 257-1626 |
| NPI Number | 1669652681 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669652681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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