Organization
MOUNTAIN SPINE AND ACCIDENT CENTER LLC
Active
Organization
MOUNTAIN SPINE AND ACCIDENT CENTER LLC
Active
Other names
Mountain Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW THOMAS MOUNTAIN DC (CLINIC DIRECTOR)
(386) 575-2225
Entity
Organization
Contact information
Practice address
777 DELTONA BLVD, SUITE 21, DELTONA, FL 32725-7173
(386) 575-2225
(386) 575-1096
Mailing address
777 DELTONA BLVD, SUITE 21, DELTONA, FL 32725-7173
(386) 575-2225
(386) 575-1096
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
CH 8010
FL
Other
Enumeration date
06/17/2006
Last updated
11/21/2008
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