Organization
MOUNTAIN SPINE AND ACCIDENT CENTER, LLC
Active
Other names
Mountain Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW THOMAS MOUNTAIN (CLINIC DIRECTOR)
(386) 575-2225
Entity
Organization
Contact information
Practice address
777 DELTONA BLVD, SUITE 21, DELTONA, FL 32725-7173
(386) 575-2225
(386) 575-1096
Mailing address
777 DELTONA BLVD, SUITE 21, DELTONA, FL 32725-7173
(386) 575-2225
(386) 575-1096
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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