Organization
NDC OF VOLUSIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH K AILANI M.D. (OWNER)
(386) 423-0505
Entity
Organization
Contact information
Practice address
1055 N DIXIE FWY, SUITE 1, NEW SMYRNA BEACH, FL 32168-6201
(386) 423-0505
(386) 423-0515
Mailing address
1055 N DIXIE FWY, SUITE 1, NEW SMYRNA BEACH, FL 32168-6201
(386) 423-0505
(386) 423-0515
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME73099
FL
Other
Enumeration date
06/11/2013
Last updated
03/13/2014
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