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Organization
METCARE DAYTONA BEACH
Active
Organization
METCARE DAYTONA BEACH
Active
Parent organization
METROPOLITAN HEALTH NETWORKS, INC
Other names
Humana Physician Group, Conviva Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPOLITAN HEALTH NETWORKS, INC
Authorized official
JESSICA MARIE BONETTI (ASSOCIATE DIRECTOR)
(305) 500-2000
Entity
Organization
Contact information
Practice address
731 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-1603
(386) 257-1626
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2114
(305) 370-6024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CX415B
MEDICARE PTAN
FL
Enumeration date
07/23/2015
Last updated
08/19/2024
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