AFERMIN PRIMARY CARE PA
Osteopathic Medicine at Ridgewood Ave, Daytona Beach, FL

License number
Florida ME0020477
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida ME0086562
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. PATRICK JOHN LARRAZABAL M.D.
Title: OWNER/PROVIDER
Phone: (386) 334-1295
Address
Address 2
2089 S Ridgewood Ave, Daytona Beach, FL 32119
500 Memorial Cir STE A, Ormond Beach, FL 32174
National Provider ID: 1740673300
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AFERMIN PRIMARY CARE PA at bizstanding.com

AFERMIN PRIMARY CARE PA

2089 S Ridgewood Ave, Daytona Beach, FL 32119

Registration:
Feb 4, 2015
State ID:
P15000011374
Business type:
Florida Profit Corporation
Vice Presidents:
Patrick J Larrazabal (President), 500 Memorial Cir, Ormond Beach, FL 32174 (Physical),Mari Jean M Oconnor, 280 Gull Dr S, Daytona Beach, FL 32119 (Physical),Mari Jean L O'connor (Vice President)
Agent:
Fleta Medical Care Center, Llc,2089 S Ridgewood Ave, Daytona Beach, FL 32119 (Physical)
EIN:
NONE

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