VOLUSIA HAND SURGERY CLINIC PA NPI 1013936087

NPI Information

  • NPI: 1013936087
  • Provider Name: VOLUSIA HAND SURGERY CLINIC PA
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Organization
  • Address: 3635 S CLYDE MORRIS BLVD
    SUITE 900
    PORT ORANGE, FL
    ZIP 32129
  • Phone: (386) 788-4263

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NPI Details

VOLUSIA HAND SURGERY CLINIC PA is a hand surgery orthopaedic surgery in Port Orange, FL. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. VOLUSIA HAND SURGERY CLINIC PA NPI is 1013936087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3635 S CLYDE MORRIS BLVD
SUITE 900
PORT ORANGE, FL
ZIP 32129-300
Phone: (386) 788-4263
Fax: (386) 788-0679

The provider's authorized official is Tamara Ray Clancy .
The authorized official title is Md and has the following contact phone number (386) 788-4263.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 6/25/2010.

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
1207XS0106XOrthopaedic SurgeryHand SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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