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Organization
SPRUCE CREEK FAMILY CARE
Active
Organization
SPRUCE CREEK FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CAVANAUGH (BILLING MGR)
(386) 274-5712
Entity
Organization
Contact information
Practice address
3875 S NOVA RD, PORT ORANGE, FL 32127-4950
(386) 322-9244
Mailing address
3875 S NOVA RD, PORT ORANGE, FL 32127-4950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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