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Organization
DELAND PRIMARY CARE AND AESTHETICS LLC
Active
Organization
DELAND PRIMARY CARE AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON YELLE (OWNER)
(386) 202-1401
Entity
Organization
Contact information
Practice address
131 E NEW YORK AVE FL 3, STE A, DELAND, FL 32724
(386) 202-1401
Mailing address
945 GLENWOOD RD, DELAND, FL 32720-2376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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