Southeast Volusia Medical Services Inc

Organization Active NPI Surgery Physician · New Smyrna Beach, FL

NPI 1104868876 · NPPES record last updated Dec 19, 2008

Key facts

NPI
1104868876
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
SOUTHEAST VOLUSIA MEDICAL SERVICES INC
Practice address
401 Palmetto St
New Smyrna Beach, FL 32168-7322
Phone
(386) 424-5000
NPI assigned
Jun 10, 2006
Organization subpart
No

Authorized official

Name
Mr. Al Allred
Title
Cpa Fo
Phone
(386) 424-5000

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 52

National Provider Directory

Locations

406 Palmetto St
#B
New Smyrna Beach, FL 32168
Phone (386) 427-6791

406 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-6791

600 Palmetto St
#1
New Smyrna Beach, FL 32168
Phone (386) 424-5000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RR0500X
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084N0400X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X Yes

Addresses

Primary practice location

401 Palmetto St
New Smyrna Beach, FL 32168-7322

Mailing address

PO Box 919246
Orlando, FL 32891-9246
Phone (386) 424-5000

Other identifiers

IdentifierTypeStateIssuer
2518567800MedicaidFL

Other names

  • Bert Fish Medical Center Doing business as

Other providers in New Smyrna Beach, FL

All providers in New Smyrna Beach, FL · Surgery Physician in Florida

Sources for this page

Verify at the official NPI Registry.