Organization
SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
Active
Other names
AdventHealth Fish Memorial
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ZILL (CHIEF FINANCIAL OFFICER)
(407) 488-7815
Entity
Organization
Contact information
Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-5000
(386) 917-5019
Mailing address
770 W GRANADA BLVD STE 203, ORMOND BEACH, FL 32174-5179
(386) 231-4252
(386) 676-2560
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010182600
—
FL
01
—
318
BLUE CROSS FLORIDA
FL
Enumeration date
09/29/2006
Last updated
11/17/2025
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