Organization
INDEPENDENT PHLEBOTOMY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE NEWSOME RN (CEO)
(386) 677-8338
Entity
Organization
Contact information
Practice address
977 GARDENIA DR, DAYTONA BEACH, FL 32117-4838
(386) 677-8338
(386) 673-5729
Mailing address
977 GARDENIA DR, DAYTONA BEACH, FL 32117-4838
(386) 677-8338
(386) 673-5729
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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