Organization
VOLUSIA ASC BZ, LLC
Active
Other names
Advanced Heart and Vascular Surgery Center at Deltona
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM PRICE (CEO)
(678) 642-5118
Entity
Organization
Contact information
Practice address
1615 DR MARTIN LUTHER KING BLVD, DELTONA, FL 32725-2912
(386) 218-0115
(386) 218-0115
Mailing address
231 S BEMISTON AVE, SUITE 850, PMB 82567, ST LOUIS, MO 63105
(618) 973-8740
(618) 235-2556
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
06/06/2023
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