Organization
VOLUSIA OB GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA CARBONARO (OFFICE MANAGER)
(386) 252-5858
Entity
Organization
Contact information
Practice address
500 HEALTH BLVD, DAYTONA BEACH, FL 32114-1492
(386) 252-5858
(386) 252-4477
Mailing address
500 HEALTH BLVD, DAYTONA BEACH, FL 32114-1492
(386) 252-5858
(386) 252-4477
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45453
BCBS
FL
Enumeration date
05/10/2006
Last updated
08/22/2020
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