Organization
TOMOKA MEDICAL LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED SALEH SABOUNJI (MEDICAL TECHNOLOGIST)
(386) 677-8014
Entity
Organization
Contact information
Practice address
783 S NOVA RD, ORMOND BEACH, FL 32174-7332
(386) 677-8014
(386) 673-8401
Mailing address
783 S NOVA RD, ORMOND BEACH, FL 32174-7332
(386) 677-8014
(386) 673-8401
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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