Organization
TOTAL WELLNESS & HEALTHY AGING FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA SCACCIA M.D. (PRESIDENT)
(386) 871-4515
Entity
Organization
Contact information
Practice address
2922 SEA OATS CIR, DAYTONA BEACH SHORES, FL 32118-5938
(386) 871-4515
Mailing address
2922 SEA OATS CIR, DAYTONA BEACH SHORES, FL 32118-5938
(386) 871-4515
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
109319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669689311
NPI
NY
Enumeration date
08/01/2011
Last updated
08/01/2011
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