Primecare at Twin Lakes LLC

NPI #1154601706 in Daytona Beach, Florida

Provider Information

NPI Number
1154601706
Entity Type
Organization
Organization Name
Primecare at Twin Lakes LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Aug 26, 2011
Last Updated
Aug 26, 2011

Practice Location

Address
1890 LPGA BLVD
Address 2
SUITE 130
State
Florida
ZIP Code
32117-7130
Phone
(386) 274-2212

Authorized Official

Name
CHARLES D DUVA, MD
Title
PRESIDENT
Phone
(386) 274-7800

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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