| Waymaker Np Care Llc | |
|
1700 Ridgewood Ave Ste H Holly Hill FL 32117-1782 | |
| (386) 882-0063 | |
| (386) 281-3370 |
| Full Name | Waymaker Np Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1700 Ridgewood Ave Ste H, Holly Hill, Florida |
| Authorized Official Name and Position | Angela Marie Moodie (MANAGER/ OWNER) |
| Authorized Official Contact | 3868820063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waymaker Np Care Llc 921 Redwood St Daytona Beach FL 32117-4571 Ph: (386) 882-0063 | Waymaker Np Care Llc 1700 Ridgewood Ave Ste H Holly Hill FL 32117-1782 Ph: (386) 882-0063 |
| NPI Number | 1699367011 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699367011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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