Organization
AMERINET HEALTH CENTER SOUTH DAYTONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN PRESTON CAUDILL (PARTNER)
(702) 287-8602
Entity
Organization
Contact information
Practice address
619 BEVILLE RD, SOUTH DAYTONA, FL 32119-1935
(702) 287-8602
Mailing address
619 BEVILLE RD, SOUTH DAYTONA, FL 32119-1935
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS5974
FL
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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