| Fleta Medical Care Center, Llc | |
|
2089 S Ridgewood Ave South Daytona FL 32119-2240 | |
| (386) 767-7533 | |
| Not Available |
| Full Name | Fleta Medical Care Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2089 S Ridgewood Ave, South Daytona, Florida |
| Authorized Official Name and Position | Patrick John Larrazabal (AR/ PROVIDER) |
| Authorized Official Contact | 3863341295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fleta Medical Care Center, Llc 500 Memorial Cir Suite A Ormond Beach FL 32174-5071 Ph: (386) 334-1295 | Fleta Medical Care Center, Llc 2089 S Ridgewood Ave South Daytona FL 32119-2240 Ph: (386) 767-7533 |
| NPI Number | 1871991539 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871991539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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