Spruce Creek Family Care

NPI #1700064102 in Port Orange, Florida

Provider Information

NPI Number
1700064102
Entity Type
Organization
Organization Name
Spruce Creek Family Care
Primary Specialty
Family Medicine
Enumeration Date
Feb 7, 2008
Last Updated
Feb 7, 2008

Practice Location

Address
3875 S NOVA RD
State
Florida
ZIP Code
32127-4950
Phone
(386) 322-9244

Authorized Official

Name
MICHELLE CAVANAUGH
Title
BILLING MGR
Phone
(386) 274-5712

Specialties & Taxonomy Codes

Specialty
Family Medicine

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