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Organization
NORTHWEST FAMILY HEALTH CENTER II, LLC
Active
Organization
NORTHWEST FAMILY HEALTH CENTER II, LLC
Active
Other names
Northwest Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY ANTOINE MD (PRESIDENT & CEO)
(845) 821-1291
Entity
Organization
Contact information
Practice address
1630 MASON AVE STE B, DAYTONA BEACH, FL 32117-4503
(386) 888-4006
(407) 219-4221
Mailing address
PO BOX 951306, LAKE MARY, FL 32795-1306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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