Surgical Associates Of Volusia
Specialist in Daytona Beach, FL. Organization (NPI-2).
NPI number1114201647
StatusActive
Last updated in NPPESOct 3, 2011
Details
- NPI
- 1114201647
- Entity type
- Organization (NPI-2)
- Legal business name
- Surgical Associates Of Volusia
- Organization subpart
- No
- Enumeration date
- Oct 3, 2011
- Last updated
- Oct 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1890 Lpga BlvdSuite 250
Daytona Beach, FL 32117-7130
Phone 386-274-0250 · Fax 386-274-0269
Mailing address
1890 Lpga BlvdSuite 250
Daytona Beach, FL 32117-7130
Phone 386-274-0250 · Fax 386-274-0269
Authorized official
Jennifer Anne Razer
Office Manager
3862740250
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