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Organization
VOLUSIA ORTHOPAEDIC TRAUMA CALL ASSOCIATES LLC
Active
Organization
VOLUSIA ORTHOPAEDIC TRAUMA CALL ASSOCIATES LLC
Active
Other names
East Coast Surgery Center, The Orthopedic Clinic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT W GILLESPY M.D. (PRESIDENT)
(386) 255-4596
Entity
Organization
Contact information
Practice address
1871 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 366-8181
Mailing address
1871 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 366-8182
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396
STATE LICENSE - AHCA
FL
Enumeration date
09/14/2016
Last updated
04/02/2026
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