NPI 1053740365
Select Insurance Pros
Practice location
- Address
- 23 Londonderry Dr, Palm Coast, FL 32137
- Phone
- (386) 864-3258
- Mailing address
- 23 Londonderry Dr, Palm Coast, FL 32137-9716
Authorised official
- Name
- Stephen J Ricke
- Title
- Owner
- Phone
- (386) 864-3258
Registered specialties
Supports Brokerage Agency
Primary
Registry record
- NPI
- 1053740365
- Entity type
- Organization
- NPI issued
- 6 Nov 2013
- Record last updated
- 6 Nov 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.