Organization
ALLERGY DIAGNOSTICS OF CENTRAL FL
Active
Other names
WEBSTER MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E WEBSTER D.O. (OWNER)
(386) 775-7500
Entity
Organization
Contact information
Practice address
211 S VOLUSIA AVE, ORANGE CITY, FL 32763-5839
(386) 775-7500
(386) 775-1904
Mailing address
211 S VOLUSIA AVE, ORANGE CITY, FL 32763-5839
(386) 775-7500
(386) 775-1904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0003567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059256100
—
FL
Enumeration date
07/04/2007
Last updated
11/23/2015
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