institution
Medical Holistic Center, Llc
General Practice Physician in New Smyrna Beach, Florida
NPI 1770747990

Medical Holistic Center, Llc is a General Practice Physician based in New Smyrna Beach, FL. Medical Holistic Center, Llc practices in New Smyrna Beach, FL. The NPI Number for Medical Holistic Center, Llc is 1770747990 and holds a License No. OS9438 (Florida).

The current practice location address for Medical Holistic Center, Llc is 512 Canal St, New Smyrna Beach, FL and can be reached out via phone at 386-663-3003 and via fax at 386-663-3007.

Location: 512 Canal St, New Smyrna Beach, FL, 32168-7012
institution
Provider Profile Details
NPI Number
1770747990
Provider Name
Medical Holistic Center, Llc
Credential
Provider Entity Type
Organization
Address
512 Canal St, New Smyrna Beach, FL, 32168-7012
Phone Number
386-663-3003
Fax Number
386-663-3007
Provider Enumeration Date
07/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
279979100 01 FL MEDIPASS
279979100 05 FL
institution
Provider Business Practice Location Address Details
Address
512 Canal St
City
State
Zip
32168-7012
Phone Number
386-663-3003
Fax Number
386-663-3007
person
Provider Business Mailing Address Details
Address
512 Canal St
City
State
Zip
32168-7012
Phone Number
386-663-3003
Fax Number
386-663-3007
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
OS9438 (Florida)
Definition
Definition to come...
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