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Organization

VOLUSIA ORTHOPAEDIC TRAUMA CALL ASSOCIATES LLC

Active
Other names
East Coast Surgery Center, The Orthopedic Clinic Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERT W GILLESPY M.D. (PRESIDENT)
(386) 255-4596
Entity
Organization

Contact information

Practice address
1871 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 366-8181
Mailing address
1871 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 366-8182

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396
STATE LICENSE - AHCA
FL
Enumeration date
09/14/2016
Last updated
04/02/2026
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