Organization
SOUTHEAST VOLUSIA MEDICAL SERVICES INC
Active
Other names
Bert Fish Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL ALLRED (CPA FO)
(386) 424-5000
Entity
Organization
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5000
Mailing address
PO BOX 919246, ORLANDO, FL 32891-9246
(386) 424-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2518567800
—
FL
Enumeration date
06/10/2006
Last updated
12/19/2008
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