Organization
CLOVIS AI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT SOWARDS (CFO)
(321) 626-6164
Entity
Organization
Contact information
Practice address
2441 BELLEVUE AVE, DAYTONA BEACH, FL 32114-5615
(772) 475-2277
(888) 877-3919
Mailing address
PO BOX 548, SIMPSONVILLE, SC 29681-0548
(321) 626-6164
(888) 877-3919
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/20/2025
Last updated
01/10/2026
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