Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Volusia Medical Center LLC

Organization Family Medicine Physician · NPI 1073936415

Volusia Medical Center LLC provides Family Medicine Physician services 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
Show map & directions

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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