Organization
ARBOR VITAE NATURAL HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD STEPHEN GRAND D.C. (PARTNER)
38645359466
Entity
Organization
Contact information
Practice address
116 BAY ST, DAYTONA BEACH, FL 32114-3234
(386) 453-5946
Mailing address
700 LARGO WAY, SOUTH DAYTONA, FL 32129-4103
(386) 453-5946
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH2533
FL
261Q00000X
Clinic/Center
CH6374
FL
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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