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Organization

CARDIOLOGY PHYSICIANS MEMORIAL, LLC

Active
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Organization

CARDIOLOGY PHYSICIANS MEMORIAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRENAE HOSKIN (ADMINISTRATOR)
(386) 615-1521
Entity
Organization

Contact information

Practice address
103 MEMORIAL MEDICAL PKWY, SUITE 200, DAYTONA BEACH, FL 32117
(386) 615-1521
(386) 671-0694
Mailing address
103 MEMORIAL MEDICAL PKWY, SUITE 200, DAYTONA BEACH, FL 32117-5121
(386) 615-1521
(386) 671-0694

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
12/19/2011
Last updated
05/02/2024
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