Organization
BAY VIEW URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D DUVA MD (PRESIDENT)
(386) 274-7800
Entity
Organization
Contact information
Practice address
573 N AIRPORT RD, NEW SMYRNA BEACH, FL 32168-5369
(386) 427-0396
(386) 427-0397
Mailing address
573 N AIRPORT RD, NEW SMYRNA BEACH, FL 32168-5369
(386) 427-0396
(386) 427-0397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614043300
FEDERAL WORKERS COMPENSATION
FL
01
—
B918H
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/14/2008
Last updated
05/04/2009
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