Organization
PCCC OF VOLUSIA LLC
Active
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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