Organization
PREMIER PHYSICIAN CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELICIA HAYNES MD (PRESIDENT)
(386) 310-2052
Entity
Organization
Contact information
Practice address
1270 REED CANAL RD APT 6308, PORT ORANGE, FL 32129-9188
(386) 341-8886
Mailing address
1270 REED CANAL RD APT 6308, PORT ORANGE, FL 32129-9188
(386) 341-8886
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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