| NP by the Sea LLC | |
|
28 Silver Fox Trl Ormond Beach FL 32174-8430 | |
| (386) 487-8433 | |
| Not Available |
| Full Name | NP by the Sea LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 28 Silver Fox Trl, Ormond Beach, Florida |
| Authorized Official Name and Position | Jordan Roberson (OWNER) |
| Authorized Official Contact | 3864052823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| NP by the Sea LLC 28 Silver Fox Trl Ormond Beach FL 32174-8430 Ph: (386) 487-8433 | NP by the Sea LLC 28 Silver Fox Trl Ormond Beach FL 32174-8430 Ph: (386) 487-8433 |
| NPI Number | 1245983360 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/29/2022 |
| Certification Date | 01/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245983360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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