Florida Hospital Fish Memorial

LBN: Southwest Volusia Medical Assoc.
Florida Hospital Fish Memorial is an health care organization with primary practice located at 1565 Saxon Blvd. Ste 202, Deltona FL 32725. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. Southwest Volusia Medical Assoc. can be contacted via phone (386) 789-5550, or through Weigand, Frederick Joseph via phone (386) 789-5550.

Contact Information

Primary practice address
1565 Saxon Blvd. Ste 202 Deltona FL 32725
Phone: (386) 789-5550
Fax: (386) 532-7152
Website:
Map and Directions
Authorized official contact:
Name: Weigand, Frederick Joseph Doctor of Medicine (MD)
Phone: (386) 789-5550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13473 Florida
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1336172626
LBN Legal business name Southwest Volusia Medical Assoc.
DBA Doing business as Florida Hospital Fish Memorial
Authorized official Weigand, Frederick Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Jun 16th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336172626 NPPES
Florida MEDICAID 035188100

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