# SENIOR HEALTH CARE OF VOLUSIA

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

## Provider details

- **NPI number:** 1669652681
- **Authorized official:** DR. KENNETH J LUCAS MD (OWNER)
- **Authorized official phone:** (386) 257-1626

## Contact information

- **Practice address:** 405 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2730
- **Practice address phone:** (386) 257-1626
- **Practice address fax:** (386) 254-7507
- **Mailing address:** 405 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2730
- **Mailing address phone:** (386) 257-1626
- **Mailing address fax:** (386) 254-7507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 12/13/2007