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Organization
VOLUSIA HOSPITALISTS PLC
Active
Organization
VOLUSIA HOSPITALISTS PLC
Active
Other names
Volusia Hospitalist PLC, Volusia Hospitalists PLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BROOKE DAVIS (ADMINISTRATOR)
(386) 676-0255
Entity
Organization
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 676-0255
(386) 676-2555
Mailing address
PO BOX 282004, TAMPA, FL 33630-2004
(386) 676-0255
(386) 676-2555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007101800
—
FL
05
—
009807600
—
FL
01
—
14T2L
BLUE CROSS BLUE SHIELD
FL
05
—
250751000
—
FL
05
—
254097500
—
FL
05
—
262576800
—
FL
05
—
276082700
—
FL
05
—
276566700
—
FL
05
—
2774554200
—
FL
01
—
32081
BLUE CROSS BLUE SHIELD
FL
01
—
35736
BLUE CROSS BLUE SHIELD
FL
01
—
42358
BLUE CROSS BLUE SHIELD
FL
01
—
94174
BLUE CROSS BLUE SHIELD
FL
01
—
94426
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/04/2006
Last updated
08/18/2023
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