Organization
NEW FRONTIER RECOVERY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER SPENCER M.D. (MEDICAL DIRECTOR)
(352) 267-9170
Entity
Organization
Contact information
Practice address
766 DELTONA BLVD, DELTONA, FL 32725-7107
(386) 259-5705
(386) 259-9833
Mailing address
766 DELTONA BLVD, DELTONA, FL 32725-7107
(386) 259-5705
(386) 259-9833
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
201401150006
FL
Other
Enumeration date
02/25/2014
Last updated
03/13/2014
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