PCCC OF VOLUSIA LLC

NEW SMYRNA BEACH, FL
NPI1285685370
Entity TypeOrganization
Authorized ContactRAJESH K AILANI
Md
386-423-0505
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL  ME89115)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: FL  ME89115)
207RS0012X Internal Medicine, Sleep Medicine
Enumeration Date2006-05-13
Last Update Date2008-04-20
Business Address
PCCC OF VOLUSIA LLC
1055 N DIXIE FWY SUITE 1
NEW SMYRNA BEACH, FL 32168-6201
Phone number: 386-423-0505
Mailing Address
PCCC OF VOLUSIA LLC
1055 N DIXIE FWY SUITE 1
NEW SMYRNA BEACH, FL 32168-6201
Phone number: 386-423-0505