HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC (NPI# 1346752755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346752755 |
| Entity Type | Organization |
| Organization Name | HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC |
| Other Organization Name | HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC |
| Practice Address |
1241 Ridgewood Ave Daytona Beach FL 32114 |
| Mailing Address |
Po Box 1784 Bentonville AR 72712 |
| Practice Telephone | 4796369702 |
| Practice Fax Number | 8774272307 |
| Mailing Telephone | 4796369702 |
| Mailing Fax Number | 8774272307 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | MRS. AMANDA GONZALEZZ (NCPDP COORDINATOR) |
| Authorized Official Telephone | 4796369702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS9696 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Hand & Upper Extremity Surgery of Daytona Beach, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639352214 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Surgery | 667 Beville Rd Ste B, South Daytona, FL 32119-1955 | 2007-12-06 |
| Street Address |
1241 RIDGEWOOD AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| 1477089597 | Plan Life Care LLC | Home Health | 601 Innovation Way, Daytona Beach, FL 32114 | 2017-05-10 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659726248 | Advanced Urology Institute LLC | Non-Pharmacy Dispensing Site | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2016-05-02 |
| 1073936415 | Volusia Medical Center LLC | Non-Pharmacy Dispensing Site | 575 N Clyde Morris Blvd, Daytona Beach, FL 32114-2323 | 2014-01-21 |
| 1649601485 | Primecare Acquisition Inc | Non-Pharmacy Dispensing Site | 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC.
| 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.