DIGGS MIRACLE CARE OF VOLUSIA AND FLAGLER COUNTIES, INC.


Address: 875 Dr Mary Mcleod Bethune Blvd, Suite B, Daytona Beach, FL 32114-3602
Phone: 3863239067

DIGGS MIRACLE CARE OF VOLUSIA AND FLAGLER COUNTIES, INC. (NPI# 1427385632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427385632
Entity Type Organization
Organization Name DIGGS MIRACLE CARE OF VOLUSIA AND FLAGLER COUNTIES, INC.
Practice Address 875 Dr Mary Mcleod Bethune Blvd
Suite B
Daytona Beach
FL 32114-3602
Practice Telephone 3863239067
Mailing Telephone 3863239067
Enumeration Date 2009-11-09
Last Update Date 2009-11-09
Authorized Official Name MS. TERESA M BROXTON (PROGRAM MANAGER)
Authorized Official Telephone 3863239855
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable Agencies

Office Location

Street Address 875 DR MARY MCLEOD BETHUNE BLVD
SUITE B
City DAYTONA BEACH
State FL
Zip Code 32114-3602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255607578 Matilda L Riley Community Health Worker 875 Dr Mary Mcleod Bethune Blvd, Suite B, Daytona Beach, FL 32114-3602 2012-03-30

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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1023277571 Presbyterian Counseling Center Voluntary or Charitable 430 Braddock Ave, Daytona Beach, FL 32118-4616 2008-06-09
1336203702 Easterseals Northeast Central Florida Voluntary or Charitable 1219 Dunn Ave, Daytona Beach, FL 32114 2006-12-20

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1427573310 Priority Love & Care, Inc. Voluntary or Charitable 7283 Old Middleburg Rd S, Jacksonville, FL 32222 2017-08-11
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Competitor

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City DAYTONA BEACH
Zip Code 32114

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Dataset Information

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.

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