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Organization
NEW SMYRNA BEACH FAMILY PRACTICE,INC.
Active
Organization
NEW SMYRNA BEACH FAMILY PRACTICE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PAUL SAMANO D.O. (PRESIDENT)
(386) 428-5554
Entity
Organization
Contact information
Practice address
807 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 428-5554
(386) 409-7971
Mailing address
807 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 428-5554
(386) 409-7971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
09/16/2010
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