Organization
PRIMARY HEALTHCARE ALLIANCE FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA BAEZ (VICE PRESIDENT)
(386) 238-9527
Entity
Organization
Contact information
Practice address
1445 DUNN AVE STE B, DAYTONA BEACH, FL 32114-1437
(386) 238-9527
(386) 492-5059
Mailing address
1445 DUNN AVE STE B, DAYTONA BEACH, FL 32114-1437
(386) 238-9527
(386) 492-5059
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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