Southern Magnolia Health and Wellness LLC
NPI #1871108274 in Ormond Beach, Florida
Provider Information
- NPI Number
- 1871108274
- Entity Type
- Organization
- Organization Name
- Southern Magnolia Health and Wellness LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 11, 2020
- Last Updated
- Sep 11, 2020
Practice Location
- Address
- 533 N NOVA RD STE 209
- City
- Ormond Beach
- State
- Florida
- ZIP Code
- 32174-4422
- Phone
- (407) 590-0377
Authorized Official
- Name
- HOPE A KING, APRN
- Title
- OWNER/APRN
- Phone
- (407) 590-0377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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