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

Volusia Medical Center LLC

Organization Family Medicine Physician · NPI 1073936415

Volusia Medical Center LLC is a Family Medicine Physician in South Daytona, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

711 Beville Rd
South Daytona, FL 32119-1823
Phone: (386) 424-1584
Fax: (386) 410-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence ME98112 (FL)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1073936415
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Leah Jones — Vp Of Operations · (386) 424-1584
Other names Volusia Medical Center Daytona; Volusia Medical Center Daytona
NPI enumeratedJanuary 21, 2014
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address3900 Clark Rd Ste L2, Sarasota, FL 34233-2375

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