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Organization
WALK-IN FAMILY CLINIC LLC
Active
Organization
WALK-IN FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WEISS (OWNER)
(386) 774-1881
Entity
Organization
Contact information
Practice address
926 SAXON BLVD, ORANGE CITY, FL 32763-8313
(386) 774-1881
(386) 774-1264
Mailing address
926 SAXON BLVD, ORANGE CITY, FL 32763-8313
(386) 774-1881
(386) 774-1264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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