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Individual

DR. AMELIA A DEGRACIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
755 WESTMORELAND RD, DAYTONA BEACH, FL 32114-1626
(386) 255-6428
(386) 255-8721
Mailing address
PO BOX 10647, DAYTONA BEACH, FL 32120-0647
(386) 255-6428
(386) 255-8721

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0024204
FL

Other

Enumeration date
01/17/2006
Last updated
09/21/2012
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