| Organization Name: | DIGGS MIRACLE CARE OF VOLUSIA AND FLAGLER COUNTIES, INC. |
| NPI Number: | 1427385632 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA M BROXTON (PROGRAM MANAGER) |
| Mailing Address: | 875 Dr Mary Mcleod Bethune Blvd Suite B Daytona Beach |
| State: | FL US |
| Postal Code: | 321143602 |
| Phone Number: | 3863239067 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2009 |
| NPI Last Update Date: | 11/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |