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Mid Florida Neuro Daytona, Llc
Medical Specialty Clinic/Center in Daytona Beach, Florida
NPI 1912497827

Mid Florida Neuro Daytona, Llc is a Medical Specialty Clinic/Center based in South Daytona, FL and is specialized in Medical Specialty. Mid Florida Neuro Daytona, Llc practices in Daytona Beach, FL. The NPI Number for Mid Florida Neuro Daytona, Llc is 1912497827 and holds a License No. ME91672 (Florida).

The current practice location address for Mid Florida Neuro Daytona, Llc is 1020 Mason Ave, Daytona Beach, FL and can be reached out via phone at 386-317-5149.

Location: 1020 Mason Ave, Daytona Beach, FL, 32119-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912497827
Provider Name
Mid Florida Neuro Daytona, Llc
Credential
Provider Entity Type
Organization
Address
1020 Mason Ave, Daytona Beach, FL, 32119-1824
Phone Number
386-317-5149
Fax Number
Provider Enumeration Date
05/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1020 Mason Ave
City
Daytona Beach
State
Florida
Zip
32117-4612
Phone Number
386-317-5149
Fax Number
person
Provider Business Mailing Address Details
Address
1020 Mason Ave
City
Daytona Beach
State
Florida
Zip
32117-4612
Phone Number
386-317-5149
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
ME91672 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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