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General NPI Number Information
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NPI Number | 1548220965
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Entity Type | Individual
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Provider Name | OSCAR DERMOTT WEST MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 12/07/2017
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Provider Practice Location Address
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Address Line | 630 W PLYMOUTH AVE
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City | DELAND
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State | FL
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Zip | 32720-3260
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Country | US
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Telephone | 386-734-3654
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Fax | 386-943-8087
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Provider Business Mailing Address
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Address Line | 695 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114
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Country | US
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Telephone | 386-258-8722
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Fax | 386-258-8659
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0074665
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | ME0074665
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License Number State | FL
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