Organization
COMMUNITY MEDICAL CENTER OF WEST VOLUSIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELO R. ANAYAS M.D. (MEDICAL DIRECTOR)
(386) 738-1792
Entity
Organization
Contact information
Practice address
1190 N STONE ST, DELAND, FL 32720-2511
(386) 738-1792
(386) 738-4865
Mailing address
1190 N STONE ST, DELAND, FL 32720-2511
(386) 738-1792
(386) 738-4865
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660026300
—
FL
Enumeration date
11/01/2006
Last updated
07/02/2009
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