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General NPI Number Information
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NPI Number | 1700978558
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Entity Type | Organization
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Legal Business Name | SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1055 SAXON BLVD
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City | ORANGE CITY
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State | FL
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Zip | 32763-8468
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Country | US
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Telephone | 386-917-5000
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Fax | 386-917-5019
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Provider Business Mailing Address
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Address Line | 770 W GRANADA BLVD STE 203
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5179
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Country | US
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Telephone | 386-231-4252
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Fax | 386-676-2560
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KENNETH ZILL
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Credential |
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Telephone | 407-488-7815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4408
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License Number State | FL
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