Debary Family Practice

Organization Active NPI General Practice Physician · Debary, FL

NPI 1427413186 · NPPES record last updated Dec 23, 2015

Key facts

NPI
1427413186
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
DEBARY FAMILY PRACTICE
Practice address
609 N Charles Richard Beall Blvd
Debary, FL 32713-2260
Phone
(386) 668-4202
Fax
(386) 668-4207
NPI assigned
Dec 23, 2015
Organization subpart
No

Authorized official

Name
Mrs. Sara Davila
Title
Practice Manager
Phone
(352) 242-1366

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

609 N Charles Richard Beall Blvd
Debary, FL 32713-2260

Mailing address

609 N Charles Richard Beall Blvd
Debary, FL 32713-2260
Phone (386) 668-4202

Other providers in Debary, FL

All providers in Debary, FL · General Practice Physician in Florida

Sources for this page

Verify at the official NPI Registry.