Organization
MEMORIAL HEALTH SYSTEMS INC.
Active
Organization
MEMORIAL HEALTH SYSTEMS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY DOMAYER (CFO)
(386) 231-3906
Entity
Organization
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, HCP RAD, DAYTONA BEACH, FL 32117-5167
(386) 671-4500
(386) 615-4103
Mailing address
PO BOX 864627, ORLANDO, FL 32886-0001
(386) 671-4500
(386) 615-4103
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/23/2011
Last updated
02/26/2021
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