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Contact Information

INNER RICHES OSTEOPATHIC MEDICAL ASSOCIATES INC
2814 S ATLANTIC AVE STE C
DAYTONA BEACH SHORES, FL32118-5802
 Phone: 240-731-6929
 Fax: 703-783-0099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Hospice and Palliative Medicine

2084H0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for INNER RICHES OSTEOPATHIC MEDICAL ASSOCIATES INC · (Female)

NPI Number 1669841839
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2015
Last updated 11/01/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0102201608
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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