Organization
ELDER HEALTH CARE OF VOLUSIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M ALLEN BA (CEO)
(386) 774-0491
Entity
Organization
Contact information
Practice address
2669 ENTERPRISE RD, ORANGE CITY, FL 32763-8217
(386) 774-0491
(386) 774-7854
Mailing address
2669 ENTERPRISE RD, ORANGE CITY, FL 32763-8217
(386) 774-0491
(386) 774-7854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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