Heritage Waterside

NPI #1114501574 in Daytona Beach Shores, Florida

Provider Information

NPI Number
1114501574
Entity Type
Organization
Organization Name
Heritage Waterside
Primary Specialty
Assisted Living Facility
Enumeration Date
May 11, 2021
Last Updated
May 11, 2021

Practice Location

Address
3704 CARDINAL BLVD
State
Florida
ZIP Code
32118-7301
Phone
(386) 256-2015

Authorized Official

Name
MARK NAGRANI, MD
Title
OWNER
Phone
(386) 256-2015

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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