Northeast Florida Health Services, Inc.

NPI #1164196861 in Deltona, Florida

Provider Information

NPI Number: 1164196861
Entity Type: Organization
Organization Name: Northeast Florida Health Services, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHEAST FLORIDA HEALTH SERVICES, INC.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 5, 2021
Last Updated: Aug 5, 2021

Practice Location

Address: 1200 DELTONA BLVD STE 40A
City: Deltona
State: Florida
ZIP Code: 32725-6386
Phone: (386) 202-6025

Authorized Official

Name: LAURIE ASBURY
Title: CEO
Phone: (386) 749-9449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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