| Organization Name: | SOUTHWEST VOLUSIA HEALTHCARE |
| NPI Number: | 1902095078 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC OSTERLY (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1055 Saxon Blvd Orange City |
| State: | FL US |
| Postal Code: | 327638468 |
| Phone Number: | 3869175000 |
| Fax Number: | 3869175848 |
| NPI Enumeration Date: | 10/15/2007 |
| NPI Last Update Date: | 03/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |