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Coastal Mua Of Volusia, Llc
Medical Specialty Clinic/Center in South Daytona, Florida
NPI 1811137623

Coastal Mua Of Volusia, Llc is a Medical Specialty Clinic/Center based in South Daytona, FL and is specialized in Medical Specialty. Coastal Mua Of Volusia, Llc practices in South Daytona, FL. The NPI Number for Coastal Mua Of Volusia, Llc is 1811137623 and holds a License No. CH8958 (Florida).

The current practice location address for Coastal Mua Of Volusia, Llc is 665 Beville Rd, South Daytona, FL and can be reached out via phone at 386-758-9871 and via fax at 386-868-5108.

Location: 665 Beville Rd, South Daytona, FL, 32119-1957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811137623
Provider Name
Coastal Mua Of Volusia, Llc
Credential
Provider Entity Type
Organization
Address
665 Beville Rd, South Daytona, FL, 32119-1957
Phone Number
386-758-9871
Fax Number
386-868-5108
Provider Enumeration Date
03/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
665 Beville Rd
City
South Daytona
State
Florida
Zip
32119-1957
Phone Number
386-758-9871
Fax Number
386-868-5108
person
Provider Business Mailing Address Details
Address
665 Beville Rd
City
South Daytona
State
Florida
Zip
32119-1957
Phone Number
386-758-9871
Fax Number
386-868-5108
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
CH8958 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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