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Organization
NEW SMYRNA BEACH AMBULATORY CARE CENTER INC
Active
Organization
NEW SMYRNA BEACH AMBULATORY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK NAGRANI (MEDICAL DIRECTOR)
(386) 423-5500
Entity
Organization
Contact information
Practice address
612 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
(386) 423-5500
Mailing address
612 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
(386) 423-5500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079118100
—
FL
Enumeration date
05/31/2006
Last updated
06/26/2014
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