| 1st Call Primary Care, LLC | |
|
955 S Woodland Blvd Ste A1 Deland FL 32720-7321 | |
| (662) 820-1099 | |
| Not Available |
| Full Name | 1st Call Primary Care, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 955 S Woodland Blvd Ste A1, Deland, Florida |
| Authorized Official Name and Position | John Kayoma (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6628201099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Call Primary Care, LLC 955 S Woodland Blvd Ste A1 Deland FL 32720-7321 Ph: (662) 820-1099 | 1st Call Primary Care, LLC 955 S Woodland Blvd Ste A1 Deland FL 32720-7321 Ph: (662) 820-1099 |
| NPI Number | 1548871866 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548871866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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