Organization
NP BY THE SEA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN ROBERSON ARNP (OWNER)
(386) 405-2823
Entity
Organization
Contact information
Practice address
28 SILVER FOX TRL, ORMOND BEACH, FL 32174-8430
(386) 487-8433
Mailing address
28 SILVER FOX TRL, ORMOND BEACH, FL 32174-8430
(386) 487-8433
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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