| Community Medical Center Of West Volusia Pa | |
|
810 Commed Blvd Orange City FL 32763-8322 | |
| (386) 775-1792 | |
| (386) 775-1750 |
| Full Name | Community Medical Center Of West Volusia Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 Commed Blvd, Orange City, Florida |
| Authorized Official Name and Position | Marcelo R. Anayas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3867381792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Center Of West Volusia Pa 810 Commed Blvd Orange City FL 32763-8322 Ph: (386) 775-1792 | Community Medical Center Of West Volusia Pa 810 Commed Blvd Orange City FL 32763-8322 Ph: (386) 775-1792 |
| NPI Number | 1992882245 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/25/2015 |
| Medicare PECOS PAC ID | 3870630676 |
|---|---|
| Medicare Enrollment ID | O20091028000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992882245 | NPI | - | NPPES |
| 660026302 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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