Organization
DIGGS MIRACLE CARE OF VOLUSIA AND FLAGLER COUNTIES, INC.
Active
Organization
DIGGS MIRACLE CARE OF VOLUSIA AND FLAGLER COUNTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA M BROXTON (PROGRAM MANAGER)
(386) 323-9855
Entity
Organization
Contact information
Practice address
875 DR MARY MCLEOD BETHUNE BLVD, SUITE B, DAYTONA BEACH, FL 32114-3602
(386) 323-9067
Mailing address
875 DR MARY MCLEOD BETHUNE BLVD, SUITE B, DAYTONA BEACH, FL 32114-3602
(386) 323-9067
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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