| Spruce Creek Family Care | |
|
3875 S Nova Rd Port Orange FL 32127-4950 | |
| (386) 322-9244 | |
| Not Available |
| Full Name | Spruce Creek Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 3875 S Nova Rd, Port Orange, Florida |
| Authorized Official Name and Position | Michelle Cavanaugh (BILLING MGR) |
| Authorized Official Contact | 3862745712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spruce Creek Family Care 3875 S Nova Rd Port Orange FL 32127-4950 Ph: () - | Spruce Creek Family Care 3875 S Nova Rd Port Orange FL 32127-4950 Ph: (386) 322-9244 |
| NPI Number | 1700064102 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700064102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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