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Organization
YOUR DOCTOR'S OFFICE, INC.
Active
Organization
YOUR DOCTOR'S OFFICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNIE E. BUCK M. D. (PRESIDENT)
(386) 676-0505
Entity
Organization
Contact information
Practice address
800 S NOVA RD, SUITE A, ORMOND BEACH, FL 32174-9048
(386) 676-0505
(386) 676-0788
Mailing address
PO BOX 730607, ORMOND BEACH, FL 32173-0607
(386) 676-0505
(386) 676-0788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0062671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371526400
—
FL
Enumeration date
09/06/2011
Last updated
09/06/2011
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