Deland Surgery Center LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

809 Issued in FL

Legal business name

DELAND SURGERY CENTER LTD

Practice address

651 W Plymouth Ave
Deland, FL 32720-3259

Phone

(386) 738-6811

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Carol A Cavanagh

Title

Administrator

Phone

(386) 738-6811

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1083618656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203259",
            "telephone_number": "386-738-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203259",
            "telephone_number": "386-738-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAND SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "CAVANAGH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-738-6811",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deland Pediatric Associates M.D.P.a.
• Deland Primary Care and Aesthetics LLC
• Deland Senior Care, LLC
• Deland Senior Care, LLC
• Deland Smiles
• Deland Treatment Solutions, LLC
• Christian Lee Delassus
• Aida L Delcastillo, M.D.
• Edmundo D Delgado, DO
• Leigh A Delgado, RPT

• Ambulatory Surgical Clinic/Center in Deland, FL
• Providers in Deland, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.