| Signature Healthcare Of Volusia | |
|
801 Beville Rd Suite 201 South Daytona FL 32119-1860 | |
| (386) 322-5200 | |
| (386) 767-0062 |
| Full Name | Signature Healthcare Of Volusia |
|---|---|
| Speciality | Family Medicine |
| Location | 801 Beville Rd, South Daytona, Florida |
| Authorized Official Name and Position | Jason Reed Mercer (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3863225200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Healthcare Of Volusia 801 Beville Rd Suite 201 South Daytona FL 32119-1860 Ph: (386) 322-5200 | Signature Healthcare Of Volusia 801 Beville Rd Suite 201 South Daytona FL 32119-1860 Ph: (386) 322-5200 |
| NPI Number | 1891967089 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 09/08/2010 |
| Medicare PECOS PAC ID | 8921028275 |
|---|---|
| Medicare Enrollment ID | O20051201000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891967089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason R Mercer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962596437 PECOS PAC ID: 4284654534 Enrollment ID: I20100908000060 |
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