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Organization
AMERINET HEALTH CENTER SOUTH DAYTONA, LLC
Active
Organization
AMERINET HEALTH CENTER SOUTH DAYTONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN PRESTON CAUDILL (PARTNER)
(702) 287-8602
Entity
Organization
Contact information
Practice address
619 BEVILLE RD, SOUTH DAYTONA, FL 32119-1935
(702) 287-8602
Mailing address
619 BEVILLE RD, SOUTH DAYTONA, FL 32119-1935
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS5974
FL
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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