institution
Jayne Kwiatkowski Llc
Clinic/Center in Ormond Beach, Florida
NPI 1225469430

Jayne Kwiatkowski Llc is a Clinic/Center based in Ormond Beach, FL. Jayne Kwiatkowski Llc practices in Ormond Beach, FL. The NPI Number for Jayne Kwiatkowski Llc is 1225469430 and holds a License No. CH9417 (Florida).

The current practice location address for Jayne Kwiatkowski Llc is 208 Booth Rd, Ormond Beach, FL and can be reached out via phone at 386-872-5323.

Location: 208 Booth Rd, Ormond Beach, FL, 32174-5717
institution
Provider Profile Details
NPI Number
1225469430
Provider Name
Jayne Kwiatkowski Llc
Credential
Provider Entity Type
Organization
Address
208 Booth Rd, Ormond Beach, FL, 32174-5717
Phone Number
386-872-5323
Fax Number
Provider Enumeration Date
12/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
382271100 05 FL
institution
Provider Business Practice Location Address Details
Address
208 Booth Rd
City
State
Zip
32174-5717
Phone Number
386-872-5323
Fax Number
person
Provider Business Mailing Address Details
Address
208 Booth Rd
City
State
Zip
32174-5717
Phone Number
386-872-5323
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
CH9417 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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