| Southwest Volusia Professional Services | |
|
1055 Saxon Blvd Orange City FL 32763-8468 | |
| (386) 917-5017 | |
| (386) 917-5019 |
| Full Name | Southwest Volusia Professional Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 1055 Saxon Blvd, Orange City, Florida |
| Authorized Official Name and Position | Kyle Glass (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3869175017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Volusia Professional Services Po Box 864623 Orlando FL 32886-4623 Ph: (386) 671-4519 | Southwest Volusia Professional Services 1055 Saxon Blvd Orange City FL 32763-8468 Ph: (386) 917-5017 |
| NPI Number | 1346424165 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346424165 | NPI | - | NPPES |
| 21677 | Other | FL | BCBS FL |
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