| Kemshol Medical Center Pa | |
| 
					984 Orange Ave Daytona Beach FL 32114-4667  | |
| (386) 226-3008 | |
| (386) 226-3044 | 
| Full Name | Kemshol Medical Center Pa | 
|---|---|
| Speciality | Clinic/center | 
| Location | 984 Orange Ave, Daytona Beach, Florida | 
| Authorized Official Name and Position | Olubukunola Collins Thomas (PRESIDENT) | 
| Authorized Official Contact | 4077564541 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kemshol Medical Center Pa 984 Orange Ave Daytona Beach FL 32114-4667 Ph: (386) 226-3008  | Kemshol Medical Center Pa 984 Orange Ave Daytona Beach FL 32114-4667 Ph: (386) 226-3008  | 
| NPI Number | 1023213469 | 
|---|---|
| Provider Enumeration Date | 06/16/2007 | 
| Last Update Date | 10/27/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023213469 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
Primecare Acquisition Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1890 Lpga Blvd Ste 130, Daytona Beach, FL 32117 Phone: 386-274-2212 Fax: 386-274-1508  | |
Alexandra Crossman Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741  | |
Primary Healthcare Alliance Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Dunn Ave Ste B, Daytona Beach, FL 32114 Phone: 386-238-9527 Fax: 386-492-5059  | |
Volusia Hospitalists Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-676-0255 Fax: 386-676-2555  | |
Premier Infectious Disease Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 636-333-4500  | |
Crouch & Dunn Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 S Halifax Ave, Daytona Beach, FL 32118 Phone: 386-238-7408 Fax: 386-253-5518  |