Organization
NEW SMYRNA BEACH URGENT CARE LLC
Active
Parent organization
MEDVANTX, INC.
Other names
New Smyrna Beach Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
1860 RENZULLI RD, NEW SMYRNA BEACH, FL 32168-1726
(386) 663-3061
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME45016
FL
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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