NDC OF VOLUSIA LLC
Neurology at Dixie Fwy, New Smyrna, FL

License number
Florida ME73099
Category
Neurology
Type
Neurology
Owner
Name: DR. RAJESH K AILANI M.D.
Title: OWNER
Phone: (386) 423-0505
Address
Address
1055 N Dixie Fwy SUITE 1, New Smyrna, FL 32168
National Provider ID: 1053759183
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NDC OF VOLUSIA LLC at bizstanding.com

NDC OF VOLUSIA, LLC

1055 N Dixie Fwy SUITE 1, New Smyrna Beach, FL 32168

Registration:
Jun 3, 2013
State ID:
L13000079896
Business type:
Florida Limited Liability Company
S:
Vicente C Trapani, 1055 N Dixie Fwy SUITE 1, New Smyrna Beach, FL 32168 (Physical),Rajesh Ailani, 1055 N Dixie Fwy, New Smyrna Beach, FL 32168 (Physical)
Agent:
Ailani, Rajesh K, Dr,1055 N Dixie Fwy SUITE 1, New Smyrna Beach, FL 32168 (Physical)
FEI/EIN:
46-2701927

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