| Deltona Medical Center Llc | |
|
747 Fawn Ridge Dr Ste 200 Orange City FL 32763-8268 | |
| (386) 668-9800 | |
| (386) 668-9800 |
| Full Name | Deltona Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 747 Fawn Ridge Dr Ste 200, Orange City, Florida |
| Authorized Official Name and Position | Esther Crisanto (OFFICE MANAGER) |
| Authorized Official Contact | 3866689841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deltona Medical Center Llc 747 Fawn Ridge Dr Ste 200 Orange City FL 32763-8268 Ph: (386) 668-9800 | Deltona Medical Center Llc 747 Fawn Ridge Dr Ste 200 Orange City FL 32763-8268 Ph: (386) 668-9800 |
| NPI Number | 1376661710 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376661710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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