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Organization
FLORIDA PRACTICE & BENEFITS GROUP MANAGEMENT LLC
Active
Organization
FLORIDA PRACTICE & BENEFITS GROUP MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE DIANE BOYD (PRES/MANAGING MEMBER)
(386) 316-0482
Entity
Organization
Contact information
Practice address
30 WINDING CREEK WAY, ORMOND BEACH, FL 32174-6773
(386) 316-0482
Mailing address
30 WINDING CREEK WAY, ORMOND BEACH, FL 32174-6773
(386) 316-0482
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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