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Contact Information

L & L BEACH STREET, LLC
208 SOUTH BEACH STREET
DAYTONA BEACH, FL32114
 Phone: 386-253-3413
 Fax: 386-253-6002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for L L BEACH STREET LLC · (Female)

NPI # 1003486671
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2021
Last updated 06/28/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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