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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