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Organization

PCCC OF VOLUSIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAJESH K AILANI MD (MD)
(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
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME89115
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME89115
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
05/13/2006
Last updated
04/20/2008
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