NORTHEAST FLORIDA HEALTH SERVICES, INC. (NPI# 1750546313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750546313 |
| Entity Type | Organization |
| Organization Name | NORTHEAST FLORIDA HEALTH SERVICES, INC. |
| Other Organization Name | FAMILY HEALTH SOURCE |
| Practice Address |
2160 Howland Blvd Ste 110 Deltona FL 32738 |
| Mailing Address |
1205 S Woodland Blvd Ste 5 Deland FL 32720-7464 |
| Practice Telephone | 3865320515 |
| Practice Fax Number | 3865320516 |
| Mailing Telephone | 3862026025 |
| Mailing Fax Number | 3865320516 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | MRS. LAURIE ASBURY (CEO) |
| Authorized Official Telephone | 3866241054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 687955105 | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Source | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 Howland Blvd, Suite 110, Deltona, FL 327383467 | 3865320515 | 3865320516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538687231 | Northeast Florida Health Services, Inc. | Clinic/Center | 801 Beville Rd Ste 103, South Daytona, FL 32119-1861 | 2017-09-01 |
| 1992792311 | Northeast Florida Health Services, Inc. | Family Medicine | 216 N. Frederick Street, Pierson, FL 32180 | 2005-09-30 |
| 1467907626 | Northeast Florida Health Services, Inc. | Clinic/Center | 1205 S Woodland Blvd Ste 5, Deland, FL 32720-7464 | 2016-08-17 |
| Street Address |
2160 HOWLAND BLVD STE 110 |
| City | DELTONA |
| State | FL |
| Zip Code | 32738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626449 | Antoinette Pierce | Registered Nurse | 410 El Camino Dr, Deltona, FL 32738 | 2018-07-21 |
| 1184120776 | Gray Group L.L.C. | Behavioral Analyst | 637 Spreading Oak Ave, Deltona, FL 32738 | 2018-04-02 |
| 1689074080 | Leah Jacob | Student in an Organized Health Care Education/Training Program | 4150 Eastgate Dr, Apt 7308, Orlando, FL 32738 | 2014-09-04 |
| 1912320383 | Right Spirit Homecare,inc | Residential Treatment Facility, Physical Disabilities | 3368 Merchant Ter, Deltona, FL 32738 | 2014-01-21 |
| 1427377720 | Sonia Rivera | Occupational Therapy Assistant | 2278 Banister Street, Deltona, FL 32738 | 2010-05-26 |
| 1083741672 | Wal-mart Stores East, L.p | Technician/Technologist | 101 Howland Blvd., Deltona, FL 32738 | 2007-02-28 |
| 1801923644 | Yvonne Green | Adult Companion | 2816 W Huron Drive, Agency for Persons With Disabilities, Deltona, FL 32738 | 2007-02-28 |
| 1508900572 | Eudelisa Cubela | Technician | 3335 Hyder Ave, Deltona, FL 32738 | 2007-02-16 |
| 1942356324 | Steven J Smith | Dentist | 1382 Howland Boulevard, Suite 104, Deltona, FL 32738 | 2007-01-26 |
| 1427395201 | Katie Marie Chokanis | Pharmacist | 2783 Elkcam Blvd, Deltona, FL 32738 | 2013-01-14 |
| Find all providers in zip 32738 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHEAST FLORIDA HEALTH SERVICES, INC..
| 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.