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Contact Information

PRC ASSOCIATES LLC
1671 N CLYDE MORRIS BLVD
SUITE 100
DAYTONA BEACH, FL32117
 Phone: 386-274-2977
 Fax: 386-274-2362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for PRC ASSOCIATES LLC · (Female)

NPI Number 1558310128
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2006
Last updated 10/08/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 0272955501
  • FL Medicaid 272955500
  • FL Medicaid 272955507
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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