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Jayne Kwiatkowski Llc
Clinic/Center in Ormond Beach, Florida
NPI 1427466051

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 1427466051 and holds a License No. CH9417 (Florida).

The current practice location address for Jayne Kwiatkowski Llc is 1414 W Granada Blvd Ste 3, Ormond Beach, FL and can be reached out via phone at 386-872-5323.

Location: 1414 W Granada Blvd Ste 3, Ormond Beach, FL, 32174-8104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427466051
Provider Name
Jayne Kwiatkowski Llc
Credential
Provider Entity Type
Organization
Address
1414 W Granada Blvd Ste 3, Ormond Beach, FL, 32174-8104
Phone Number
386-872-5323
Fax Number
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1414 W Granada Blvd Ste 3
City
Ormond Beach
State
Florida
Zip
32174-8104
Phone Number
386-872-5323
Fax Number
person
Provider Business Mailing Address Details
Address
1414 W Granada Blvd Ste 3
City
Ormond Beach
State
Florida
Zip
32174-8104
Phone Number
386-872-5323
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
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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