Organization
DAYTONA PLASTIC SURGERY, P.L.
Active
Organization
DAYTONA PLASTIC SURGERY, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY J MORADIA M.B.,B.S. (MANAGING MEMBER)
(386) 756-9009
Entity
Organization
Contact information
Practice address
4606 S CLYDE MORRIS BLVD, SUITE 1 L, PORT ORANGE, FL 32129-6404
(386) 756-9009
(386) 756-3006
Mailing address
4606 S CLYDE MORRIS BLVD, SUITE 1 L, PORT ORANGE, FL 32129-6404
(386) 756-9009
(386) 756-3006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME 62606
FL
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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