Organization
WAYMAKER NP CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIE MOODIE APRN (MANAGER/ OWNER)
(386) 882-0063
Entity
Organization
Contact information
Practice address
1700 RIDGEWOOD AVE STE H, HOLLY HILL, FL 32117-1782
(386) 882-0063
(386) 281-3370
Mailing address
921 REDWOOD ST, DAYTONA BEACH, FL 32117-4571
(386) 882-0063
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
06/21/2021
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