# VOLUSIA OB GYN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720037211
- **Authorized official:** MRS. TAMARA CARBONARO (OFFICE MANAGER)
- **Authorized official phone:** (386) 252-5858

## Contact information

- **Practice address:** 500 HEALTH BLVD, DAYTONA BEACH, FL 32114-1492
- **Practice address phone:** (386) 252-5858
- **Practice address fax:** (386) 252-4477
- **Mailing address:** 500 HEALTH BLVD, DAYTONA BEACH, FL 32114-1492
- **Mailing address phone:** (386) 252-5858
- **Mailing address fax:** (386) 252-4477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | FL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 45453 | BCBS | FL |