Ndc of Volusia LLC
NPI #1053759183 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1053759183
- Entity Type
- Organization
- Organization Name
- Ndc of Volusia LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jun 11, 2013
- Last Updated
- Mar 13, 2014
Practice Location
- Address
- 1055 N DIXIE FWY
- Address 2
- SUITE 1
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168-6201
- Phone
- (386) 423-0505
Authorized Official
- Name
- DR. RAJESH K AILANI, M.D.
- Title
- OWNER
- Phone
- (386) 423-0505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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