Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southwest Volusia Healthcare Corporation

Organization Family Medicine Physician · NPI 1902095078

Southwest Volusia Healthcare Corporation is a Family Medicine Physician in Orange City, Florida. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
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Practice location Address checks out

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone: (386) 917-5000
Fax: (386) 917-5848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1902095078
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthwest Volusia Healthcare Corporation
Authorized official Kyle Glass — Chief Financial Officer · (386) 917-5017
Other names Adventhealth Medical Group; Southwest Volusia Medical Associates; Southwest Volusia Medical Associates
NPI enumeratedOctober 15, 2007
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address770 W Granada Blvd Ste 203, Ormond Beach, FL 32174-5179

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