Organization
DELTONA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER CRISANTO RN (OFFICE MANAGER)
(386) 668-9841
Entity
Organization
Contact information
Practice address
747 FAWN RIDGE DR STE 200, ORANGE CITY, FL 32763-8268
(386) 668-9800
(386) 668-9800
Mailing address
747 FAWN RIDGE DR STE 200, ORANGE CITY, FL 32763-8268
(386) 668-9800
(386) 668-3777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
02/26/2009
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