# AMERINET HEALTH CENTER SOUTH DAYTONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326342585
- **Authorized official:** MR. BRYAN PRESTON CAUDILL (PARTNER)
- **Authorized official phone:** (702) 287-8602

## Contact information

- **Practice address:** 619 BEVILLE RD, SOUTH DAYTONA, FL 32119-1935
- **Practice address phone:** (702) 287-8602
- **Mailing address:** 619 BEVILLE RD, SOUTH DAYTONA, FL 32119-1935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | OS5974 | FL | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 01/03/2011