Organization Name: | ACCDIENT & INJURY CENTER INC |
NPI Number: | 1053550749 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRY VASSILAKIS (OWNER) |
Mailing Address: | 807 Beville Rd South Daytona |
State: | FL US |
Postal Code: | 321191824 |
Phone Number: | 3866689622 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2009 |
NPI Last Update Date: | 02/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | CH8852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |