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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
810 COMMED BLVD, ORANGE CITY, FL 32763-8322
(386) 775-1792
(386) 775-1750
Mailing address
810 COMMED BLVD, ORANGE CITY, FL 32763-8322
(386) 775-1792
(386) 775-1750

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
660026302
FL
Enumeration date
11/01/2006
Last updated
08/25/2015
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