| Advowatch LLC | |
|
3704 Cardinal Blvd Daytona Beach Shores FL 32118-7301 | |
| (386) 256-2015 | |
| Not Available |
| Full Name | Advowatch LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3704 Cardinal Blvd, Daytona Beach Shores, Florida |
| Authorized Official Name and Position | Mark Nagrani (CEO) |
| Authorized Official Contact | 3863152485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advowatch LLC 3704 Cardinal Blvd Daytona Beach Shores FL 32118-7301 Ph: (386) 256-2015 | Advowatch LLC 3704 Cardinal Blvd Daytona Beach Shores FL 32118-7301 Ph: (386) 256-2015 |
| NPI Number | 1386239028 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386239028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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