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SOUTHWEST VOLUSIA MEDICAL ASSOC. NPI 1336172626


NPI Information

NPI: 1336172626
Provider Name: SOUTHWEST VOLUSIA MEDICAL ASSOC.

Other Name: FLORIDA HOSPITAL FISH MEMORIAL

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1565 SAXON BLVD
#202
DELTONA, FL
ZIP 32725
Phone: (386) 789-5550
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SOUTHWEST VOLUSIA MEDICAL ASSOC. is an adult medicine family medicine in Deltona, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SOUTHWEST VOLUSIA MEDICAL ASSOC. NPI is 1336172626. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Florida Hospital Fish Memorial.

The provider's business location address is:

1565 SAXON BLVD
#202
DELTONA, FL
ZIP 32725-876
Phone: (386) 789-5550
Fax: (386) 532-7152

The provider's authorized official is Frederick Joseph Weigand .
The authorized official title is Dr. and has the following contact phone number (386) 789-5550.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 6/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine13473FLORIDANo
2207QA0505XFamily MedicineAdult MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D57592MEDICARE UPIN
2035188100MEDICAIDFLORIDA
300663MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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