Organization
COASTAL MUA OF VOLUSIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY A WEST DC (MANAGER MEMBER)
(386) 589-8719
Entity
Organization
Contact information
Practice address
665 BEVILLE RD, SUITE K, SOUTH DAYTONA, FL 32119-1957
(386) 758-9871
(386) 868-5108
Mailing address
665 BEVILLE RD, SUITE K, SOUTH DAYTONA, FL 32119-1957
(386) 758-9871
(386) 868-5108
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
CH8958
FL
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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