ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA (NPI# 1023678745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023678745 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA |
| Practice Address |
1175 Dunlawton Ave Ste 1 Port Orange FL 32127-4741 |
| Mailing Address |
1075 Mason Ave Daytona Beach FL 32117-4611 |
| Practice Telephone | 3862554596 |
| Practice Fax Number | 3862583561 |
| Mailing Telephone | 3862554596 |
| Mailing Fax Number | 3862583561 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | ALBERT W. GILLESPY (PRESIDENT) |
| Authorized Official Telephone | 3862554596 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073068458 | Orthopaedic Clinic of Daytona Beach Pa | Orthopaedic Surgery | 1890 Lpga Boulevard, Suite 240, Daytona Beach, FL 32117-7131 | 2016-08-16 |
| 1164977534 | Orthopaedic Clinic of Daytona Beach Pa | Orthopaedic Surgery | 17 Old Kings Rd N Ste K, Palm Coast, FL 32137-8283 | 2016-08-16 |
| 1063965325 | Orthopaedic Clinic of Daytona Beach Pa | Orthopaedic Surgery | 1165 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2924 | 2016-08-03 |
| 1558340240 | Orthopaedic Clinic of Daytona Beach Pa | Orthopaedic Surgery | 1075 Mason Ave, Daytona Beach, FL 32117-4611 | 2006-01-11 |
| Street Address |
1175 DUNLAWTON AVE STE 1 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-4741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912441502 | Sabrina Farmer | Durable Medical Equipment & Medical Supplies | 3761 S Nova Rd, Suite, Port Orange, FL 32129-4292 | 2016-12-15 |
| 1922456128 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3811 Clyde Morris Blvd, Port Orange, FL 32129-2306 | 2016-05-27 |
| 1821453366 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 851 Dunlawton Ave Ste 101, Port Orange, FL 32127-4234 | 2015-12-29 |
| 1366741258 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1816 Dunlawton Ave, Port Orange, FL 32127-2921 | 2011-03-18 |
| 1669624185 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 3821 S Nova Rd, Port Orange, FL 32127-4950 | 2008-10-15 |
| 1710140066 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1625 Taylor Rd, Port Orange, FL 32128-6925 | 2008-07-08 |
| 1528131000 | Beaute Biz Inc. | Durable Medical Equipment & Medical Supplies | 3833 S Nova Rd, Port Orange, FL 32127-4950 | 2006-11-15 |
| 1386725828 | On-call Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 5889 S Williamson Blvd Ste 1305, Port Orange, FL 32128-6109 | 2006-10-18 |
| 1346256732 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3805 S Nova Rd, Port Orange, FL 32129-4201 | 2006-07-31 |
| 1033136411 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1590 Dunlawton Ave, Port Orange, FL 32127-4752 | 2006-07-16 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
Please comment or provide details below to improve the information on ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.