Individual
LLOYD WAYNE CLAYBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 BILL FRANCE BLVD, SUITE 200, DAYTONA BEACH, FL 32114-1316
(386) 868-1992
Mailing address
135 12TH ST, HOLLY HILL, FL 32117-2701
(386) 562-6141
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CASE MANAGEMENT
FL
Enumeration date
12/11/2012
Last updated
12/11/2012
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