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Organization
VOLUSIA PRIMARY CARE ASSOCIATES
Active
Organization
VOLUSIA PRIMARY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INDRAVADAN SHAH MD (PHYSICIAN)
(386) 322-2224
Entity
Organization
Contact information
Practice address
667 BEVILLE RD, SOUTH DAYTONA, FL 32119-1952
(386) 322-2224
(386) 322-2033
Mailing address
770 JOHN ANDERSON DR, ORMOND BEACH, FL 32176-4708
(386) 322-2224
(386) 322-2033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME48645
FL
Other
Enumeration date
05/29/2007
Last updated
08/24/2010
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