Organization
VOLUSIA MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAIKHA AZIZ (OWNER/PRESIDENT)
(386) 947-8525
Entity
Organization
Contact information
Practice address
591 BEVILLE RD, SOUTH DAYTONA, FL 32119-2062
(386) 947-8525
(386) 756-2153
Mailing address
591 BEVILLE RD, SOUTH DAYTONA, FL 32119-2062
(386) 947-8525
(386) 756-2153
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
9143
FL
Other
Enumeration date
02/14/2006
Last updated
08/22/2020
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