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Organization
SOUTHWEST VOLUSIA MEDICAL ASSOC.
Active
Organization
SOUTHWEST VOLUSIA MEDICAL ASSOC.
Active
Other names
Florida Hospital Fish Memorial
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK JOSEPH WEIGAND M.D. (DR.)
(386) 789-5550
Entity
Organization
Contact information
Practice address
1565 SAXON BLVD., STE 202, DELTONA, FL 32725
(386) 789-5550
(386) 532-7152
Mailing address
1565 SAXON BLVD., STE 202, DELTONA, FL 32725
(386) 789-5550
(386) 532-7152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13473
FL
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035188100
—
FL
Enumeration date
07/09/2006
Last updated
06/16/2014
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