Verdure Exclusive PA
NPI #1295221711 in Port Orange, Florida
Provider Information
- NPI Number
- 1295221711
- Entity Type
- Organization
- Organization Name
- Verdure Exclusive PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 9, 2018
- Last Updated
- Dec 13, 2022
Practice Location
- Address
- 4645 CLYDE MORRIS BLVD STE 404
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32129-3005
- Phone
- (386) 855-8633
Authorized Official
- Name
- TINUADE OLUSEGUN, MD
- Title
- OWNER
- Phone
- (386) 855-8633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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