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Organization
VESC LLC
Active
Organization
VESC LLC
Active
Other names
VESC INC, Volusia Endoscopy and Surgery Center, AdventHealth Surgery Center Ormond Beach
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAIRILISE POTHIN OWEN (CFO)
(407) 357-2427
Entity
Organization
Contact information
Practice address
550 MEMORIAL CIR STE G, ORMOND BEACH, FL 32174-5055
(862) 717-1053
(862) 316-5463
Mailing address
550 MEMORIAL CIR STE G, ORMOND BEACH, FL 32174-5055
(386) 231-7151
(386) 231-6545
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
786
FL
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079123700
—
FL
01
—
63F
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
08/11/2005
Last updated
07/17/2026
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