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Organization

SOUTHWEST VOLUSIA MEDICAL ASSOC.

Active
Other names
Florida Hospital Fish Memorial
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FREDERICK JOSEPH WEIGAND M.D. (DR.)
(386) 789-5550
Entity
Organization

Contact information

Practice address
1565 SAXON BLVD., STE 202, DELTONA, FL 32725
(386) 789-5550
(386) 532-7152
Mailing address
1565 SAXON BLVD., STE 202, DELTONA, FL 32725
(386) 789-5550
(386) 532-7152

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13473
FL
207QA0505X
Adult Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035188100
FL
Enumeration date
07/09/2006
Last updated
06/16/2014
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