Organization
HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC
Active
Organization
HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC
Active
Other names
Hand & Upper Extremity Surgery of Daytona Beach, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA GONZALEZZ (NCPDP COORDINATOR)
(479) 636-9702
Entity
Organization
Contact information
Practice address
1241 RIDGEWOOD AVE, DAYTONA BEACH, FL 32114
(479) 636-9702
(877) 427-2307
Mailing address
PO BOX 1784, BENTONVILLE, AR 72712
(479) 636-9702
(877) 427-2307
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS9696
FL
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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