Volusia Neurology PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

VOLUSIA NEUROLOGY PA

Practice address

760 S Volusia Ave
Suite 400
Orange City, FL 32763-6506

Phone

(386) 774-0220

Fax

(386) 774-0961

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Corak, MD

Title

President/Owner

Phone

(386) 774-0220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1669660825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S VOLUSIA AVE",
            "address_2": "SUITE 400",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636506",
            "telephone_number": "386-774-0220",
            "fax_number": "386-774-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S VOLUSIA AVE",
            "address_2": "SUITE 400",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636506",
            "telephone_number": "386-774-0220",
            "fax_number": "386-774-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "CORAK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "386-774-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Balance Chiropractic LLC
• Vitality Injury & Wellness, LLC (Vitality Mobile Chiropractic)
• Mark Louis Voltarel, D.M.D.
• Volusia County Instruments Inc.
• Volusia Endodontics, PLLC
• Volusia Optical, L.L.C.
• Charity Anna Vordenberg
• Jenny Vuong, PHARMD
• Marissa Wagner, APRN
• Susan E. Wakelin, P.T.

• Neurology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.