Organization
VOLUSIA CENTER FOR SURGICAL EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OREST KRAJNYK MD (MANAGER)
(386) 424-1422
Entity
Organization
Contact information
Practice address
303 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1617
(386) 424-1422
(386) 424-1401
Mailing address
303 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1617
(386) 424-1422
(386) 424-1401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/17/2022
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