| Jayne Kwiatkowski Llc | |
|
208 Booth Rd Suite 1 Ormond Beach FL 32174-5717 | |
| (386) 872-5323 | |
| Not Available |
| Full Name | Jayne Kwiatkowski Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 208 Booth Rd, Ormond Beach, Florida |
| Authorized Official Name and Position | Jayne Kwiatkowski (OWNER/MANAGER) |
| Authorized Official Contact | 3868725323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayne Kwiatkowski Llc 208 Booth Rd Suite 1 Ormond Beach FL 32174-5717 Ph: (386) 872-5323 | Jayne Kwiatkowski Llc 208 Booth Rd Suite 1 Ormond Beach FL 32174-5717 Ph: (386) 872-5323 |
| NPI Number | 1225469430 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 12/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225469430 | NPI | - | NPPES |
| 382271100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH9417 (Florida) | Primary |
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