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Organization
DEYARD WELLNESS CENTER
Active
Organization
DEYARD WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA YARD MD (VP)
(386) 322-3505
Entity
Organization
Contact information
Practice address
1728 DUNLAWTON AVE, STE 2, PORT ORANGE, FL 32127-2922
(386) 322-3505
(386) 322-3509
Mailing address
1728 DUNLAWTON AVE, STE 2, PORT ORANGE, FL 32127-2922
(386) 322-3505
(386) 322-3509
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ME68224
FL
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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