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Organization
VOLUSIA HAND SURGERY CLINIC PA
Active
Organization
VOLUSIA HAND SURGERY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA RAY CLANCY MD (MD)
(386) 788-4263
Entity
Organization
Contact information
Practice address
3635 S CLYDE MORRIS BLVD, SUITE 900, PORT ORANGE, FL 32129-2300
(386) 788-4263
(386) 788-0679
Mailing address
3635 S CLYDE MORRIS BLVD, SUITE 900, PORT ORANGE, FL 32129-2300
(386) 788-4263
(386) 788-0679
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
06/25/2010
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