Provider Demographics
NPI:1093013138
Name:VOLCY, HANS
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:
Last Name:VOLCY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W AIRPORT BLVD APT 808
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-4977
Mailing Address - Country:US
Mailing Address - Phone:973-580-9309
Mailing Address - Fax:
Practice Address - Street 1:500 W AIRPORT BLVD APT 808
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-4977
Practice Address - Country:US
Practice Address - Phone:973-580-9309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL002538100374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002538100Medicaid