Volusia Medical Center LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME98112 Issued in FL

Legal business name

VOLUSIA MEDICAL CENTER LLC

Doing business as

Volusia Medical Center Daytona

Practice address

711 Beville Rd
South Daytona, FL 32119-1823

Phone

(386) 424-1584

Fax

(386) 410-4800

NPI assigned

Jan 21, 2014

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leah Jones

Title

VP of Operations

Phone

(386) 424-1584

Specialties & licenses 2

Addresses

Other names 1

• Volusia Medical Center Daytona Doing business as

Tax ID family

Volusia Medical Center LLC3 organizations share this tax ID, including this one

Part of

Medvantx Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Volusia Medical Center LLC

  dba Volusia Medical Center New Smyrna

  • Non-Pharmacy Dispensing Site
  • New Smyrna Beach, FL
  • NPI 1710309398
  NPD tax ID
• Volusia Medical Center LLC

  dba Volusia Medical Center of Deland

  • Family Medicine Physician
  • Deland, FL
  • NPI 1902448715
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16946/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/JGGDAA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1073936415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE L2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332375",
            "telephone_number": "386-424-1584",
            "fax_number": "386-410-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191823",
            "telephone_number": "386-424-1584",
            "fax_number": "386-410-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-01-21",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "386-424-1584"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME98112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volusia Medical Center Daytona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Volusia Medical Center Daytona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tameria B Vickers
• Susan Lee Vigo, DR.
• Jose Daniel Villasana, MSPT
• Vogel Chiropractic Clinic LLC
• Trudi Ewing Vogel, DC
• Volusia Medical Supply Inc.
• Volusia Primary Care Associates
• W R Munster DC PA
• Laura Wagner, DPT, PT
• Mitchell Ryan Walker, D.P.T.

• Non-Pharmacy Dispensing Site in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.