Organization
SURGERY CENTER OF VOLUSIA, LLC
Active
Other names
Surgery Center of Volusia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
3635 S CLYDE MORRIS BLVD, SUITE 500, PORT ORANGE, FL 32129-2300
(386) 760-8151
(386) 760-8185
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075540100
—
FL
01
—
P00073662
RAILROAD MEDICARE
FL
Enumeration date
07/16/2006
Last updated
01/10/2023
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