HALIFAX HEALTHCARE SYSTEMS INC (NPI# 1477596641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477596641 |
| Entity Type | Organization |
| Organization Name | HALIFAX HEALTHCARE SYSTEMS INC |
| Other Organization Name | HHCSI KEECH STREET CLINIC |
| Practice Address |
431 Keech Street Daytona Beach FL 32114 |
| Practice Telephone | 3869473553 |
| Mailing Telephone | 3869473553 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. ARVIN LEWIS (VPPBFS) |
| Authorized Official Telephone | 3862544000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HHCSI Keech Street Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588608806 | Halifax Healthcare Systems Inc | Family Medicine | 1455 Dunn Ave, Daytona Beach, FL 32114-1437 | 2006-06-16 |
| 1154434587 | Halifax Healthcare Systems Inc | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-17 |
| 1861403008 | Halifax Healthcare Systems Inc | Rehabilitation Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-11 |
| 1417968223 | Halifax Healthcare Systems Inc | Anesthesiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-10 |
| 1942211743 | Halifax Healthcare Systems Inc | Anesthesiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-10 |
| 1780694786 | Halifax Healthcare Systems Inc | Pediatrics | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-09 |
| 1194735332 | Halifax Healthcare Systems Inc | Pediatrics | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-09 |
| 1366452591 | Halifax Healthcare Systems Inc | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-09 |
| 1255341400 | Halifax Healthcare Systems Inc | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-09 |
| 1518977032 | Halifax Healthcare Systems Inc | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-08 |
| Street Address |
431 KEECH STREET |
| 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 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 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 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538517792 | Julie Rae Weinberg | Pediatrics | 10e Pbfs, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-0001 | 2016-05-28 |
| 1902079395 | John Assi, Md, Pa | Pediatrics | 1346 Mason Ave, Daytona Beach, FL 32117-5508 | 2008-04-08 |
| 1710043559 | Louis O Orezzoli | Pediatrics | 515 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-12-28 |
| 1316049802 | Adela D Carino Caidic | Pediatrics | 431 South Keech St, Daytona Beach, FL 32114-4623 | 2006-09-04 |
| 1972501674 | Asphendiar K Khorsandian | Pediatrics | 337 N Clyde Morris Blvd, Daytona Beach, FL 32114-2732 | 2005-07-07 |
| 1033504600 | Jennifer Carbone | Pediatrics | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2015-04-01 |
| 1750455788 | Richard Hartmann | Pediatrics | 201 N Clyde Morris Blvd Ste 200, Halifax Family Health Center, Daytona Beach, FL 32114-2765 | 2006-11-20 |
| 1144322637 | Andrea Jennifer Thorpe | Pediatrics | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-09-04 |
| 1073572863 | Marilyn L Regis | Pediatrics | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2006-03-21 |
| 1801865654 | Brian Vazquez | Pediatrics | 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2006-03-15 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| 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.