Organization
CENTURY CLINICAL FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORAY ANTOINETTE BLAIR-BRITT (FAMILY PHYSICIAN)
(386) 615-1595
Entity
Organization
Contact information
Practice address
1410 LPGA BLVD, DAYTONA BEACH, FL 32117-5115
(386) 274-4750
Mailing address
1410 LPGA BLVD, DAYTONA BEACH, FL 32117-5115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME60233
FL
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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