Healthcare Provider Details

I. General information

NPI: 1992707855
Provider Name (Legal Business Name): VESC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MEMORIAL CIR STE G
ORMOND BEACH FL
32174-5055
US

IV. Provider business mailing address

550 MEMORIAL CIR STE G
ORMOND BEACH FL
32174-5055
US

V. Phone/Fax

Practice location:
  • Phone: 862-717-1053
  • Fax: 862-316-5463
Mailing address:
  • Phone: 386-231-7151
  • Fax: 386-231-6545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number786
License Number StateFL

VIII. Authorized Official

Name: MR. FRANCIS OWENS
Title or Position: CFO
Credential:
Phone: 606-594-0705