Saltwater Family Practice
NPI #1952900953 in Ormond Beach, Florida
Provider Information
- NPI Number
- 1952900953
- Entity Type
- Organization
- Organization Name
- Saltwater Family Practice
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 21, 2020
- Last Updated
- Oct 21, 2020
Practice Location
- Address
- 305 CLYDE MORRIS BLVD STE 200
- City
- Ormond Beach
- State
- Florida
- ZIP Code
- 32174-8182
- Phone
- (386) 281-0939
Authorized Official
- Name
- ANDREA LEE MERCADO, APRN
- Title
- APRN
- Phone
- (386) 281-0939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Clinic/Center - Primary Care — Primary Care |
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