# ELOISA G. DIMAYUGA, MD PA

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

## Provider details

- **NPI number:** 1487832770
- **Authorized official:** DR. ELOISA G DIMAYUGA MD (PRESIDENT)
- **Authorized official phone:** (386) 451-5940

## Contact information

- **Practice address:** 303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
- **Practice address phone:** (386) 451-5940
- **Mailing address:** 226 N NOVA RD STE 320, ORMOND BEACH, FL 32174-5124
- **Mailing address phone:** (386) 451-5940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 11/28/2017