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Organization

VOLUSIA PSYCHIATRY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BASSAM A AMAWI MD (OWNER)
(386) 299-3393
Entity
Organization

Contact information

Practice address
450 W STATE ROAD 434, LONGWOOD, FL 32750-5187
(386) 299-3393
Mailing address
450 W STATE ROAD 434, LONGWOOD, FL 32750-5187
(386) 299-3393

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME50613
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2592282
FL
Enumeration date
05/11/2010
Last updated
07/11/2011
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