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Organization

NCCC OF VOLUSIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAJESH AILANI MD (AUTHORIZED OFFICIAL)
(386) 416-0238
Entity
Organization

Contact information

Practice address
1055 N DIXIE FWY STE 1, NEW SMYRNA BEACH, FL 32168-6200
(386) 423-0505
Mailing address
1055 N DIXIE FWY STE 1, NEW SMYRNA BEACH, FL 32168-6200
(386) 423-0505

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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