Smc Rehab Services, Llc | |
3512 S Atlantic Ave Daytona Beach Shores FL 32118-7639 | |
(386) 767-9544 | |
(386) 767-9914 |
Full Name | Smc Rehab Services, Llc |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 3512 S Atlantic Ave, Daytona Beach Shores, Florida |
Authorized Official Name and Position | Gerald R Woodard (OWNER) |
Authorized Official Contact | 3867679544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smc Rehab Services, Llc 3512 S Atlantic Ave Daytona Beach Shores FL 32118-7639 Ph: (386) 767-9544 | Smc Rehab Services, Llc 3512 S Atlantic Ave Daytona Beach Shores FL 32118-7639 Ph: (386) 767-9544 |
NPI Number | 1518391523 |
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Provider Enumeration Date | 08/27/2013 |
Last Update Date | 08/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518391523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | OS4717 (Florida) | Primary |
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