Organization
RDC OF VOLUSIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH K AILANI MD (OWNER)
(386) 423-0505
Entity
Organization
Contact information
Practice address
1055 N DIXIE FWY, SUITE1, NEW SMYRNA BEACH, FL 32168-6201
(386) 423-0505
(386) 423-0515
Mailing address
1055 N DIXIE FWY, SUITE1, NEW SMYRNA BEACH, FL 32168-6201
(386) 423-0505
(386) 423-0515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME99745
FL
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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