Organization
ECCENTIA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA EDWARDS (OWNER)
(386) 451-4980
Entity
Organization
Contact information
Practice address
3761 S NOVA RD STE P1010, PORT ORANGE, FL 32129-4292
(386) 451-4980
Mailing address
3761 S NOVA RD STE P1010, PORT ORANGE, FL 32129-4292
(386) 766-5661
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
02/01/2026
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