# DELAND MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295275378
- **Authorized official:** YVES M LAVENTURE D.O. (D.O. MEDICAL DIRECTOR)
- **Authorized official phone:** (386) 624-7977

## Contact information

- **Practice address:** 320 S SPRING GARDEN AVE, STE D, DELAND, FL 32720-5087
- **Practice address phone:** (386) 624-7977
- **Practice address fax:** (386) 873-4147
- **Mailing address:** 320 S SPRING GARDEN AVE, STE D, DELAND, FL 32720-5087
- **Mailing address phone:** (386) 624-7977
- **Mailing address fax:** (386) 873-4147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS7148 | FL | Yes |

## Other

- **Enumeration date:** 03/08/2017
- **Last updated:** 03/08/2017
