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Individual

OSCAR DERMOTT WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
630 W PLYMOUTH AVE, DELAND, FL 32720-3260
(386) 734-3654
(386) 943-8087
Mailing address
695 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114
(386) 258-8722
(386) 258-8659

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0074665
FL
207UN0901X
Nuclear Cardiology Physician
ME0074665
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256091700
FL
01
44356
BCBS
FL
Enumeration date
03/28/2006
Last updated
12/07/2017
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