Kemshol Medical Center Pa
Clinic/Center in Daytona Beach, FL(View on Map)
Legal Business Name
Kemshol Medical Center Pa
NPI Number
1023213469
NPI Type
Organization
Enumeration Date
06/16/2007
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
984 ORANGE AVE
984 ORANGE AVE
City
Daytona Beach
Daytona Beach
State
FL
FL
Postal Code
32114-4667
32114-4667
Country
US
US
Telephone Number
(386) 226-3008
(386) 226-3008
Authorized Official
Name
Dr. Olubukunola Thomas
Title or Position
PRESIDENT
Telephone Number
(407) 756-4541
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/27/2007
Provider Address
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