| Organization Name: | SOUTH VOLUSIA MEDICAL ASSOC |
| NPI Number: | 1184610099 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETSY JOAN LEVIN (PRESIDENT) |
| Mailing Address: | 317 S Dixie Fwy New Smyrna Beach |
| State: | FL US |
| Postal Code: | 321687158 |
| Phone Number: | 3864268600 |
| Fax Number: | 3864266090 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |