HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC (NPI# 1639352214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639352214 |
| Entity Type | Organization |
| Organization Name | HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC |
| Practice Address |
667 Beville Rd Ste B South Daytona FL 32119-1955 |
| Practice Telephone | 3863226882 |
| Practice Fax Number | 3863226848 |
| Mailing Telephone | 3863226882 |
| Mailing Fax Number | 3863226848 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2018-11-12 |
| Authorized Official Name | DR. JUAN CARLOS CASTANEDA (PRESIDENT) |
| Authorized Official Telephone | 3863226882 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
OS59696 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001187400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| Street Address |
667 BEVILLE RD STE B |
| City | SOUTH DAYTONA |
| State | FL |
| Zip Code | 32119-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043248362 | Juan Carlos Castaneda | Surgery | 667 Beville Rd Ste B, South Daytona, FL 32119-1955 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1720451040 | Tyler M Mckinniss | Chiropractor | 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 | 2015-11-09 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| Find all providers in zip 32119 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043248362 | Juan Carlos Castaneda | Surgery | 667 Beville Rd Ste B, South Daytona, FL 32119-1955 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679006373 | Hand Surgery of Central Florida | Surgery | 1241 S. Ridgewood Ave., Daytona Beach, FL 32114 | 2017-04-10 |
| 1841427861 | Jose L Borrero | Surgery | 630 Jasmine Rd, Altamonte Springs, FL 32701-4807 | 2009-06-17 |
| 1982895223 | George Dimitrios Papanicolaou | Surgery | 3272 W Lake Mary Blvd Ste 1810, Lake Mary, FL 32746-3589 | 2007-08-01 |
| 1629268842 | Jesse O Basadre Md Pa | Surgery | 1699 Sw 27th Ave, Miami, FL 33145 | 2007-07-25 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| 1770704520 | Medlink Management Services Inc | Surgery | 575 Se 3rd Ave, Lake Butler, FL 32054-2647 | 2007-05-01 |
| 1619196185 | Khader Muqtadir | Surgery | 13905 Bruce B Downs Blvd Ste B, Tampa, FL 33613-3998 | 2007-04-24 |
| 1609941244 | Jesse Orlando Basadre | Surgery | 1699 Sw 27 Avenue, Miami, FL 33145 | 2006-11-21 |
| 1275606634 | William W Adams | Surgery | 2299 9th Ave North, Suite 2c, Saint Petersburg, FL 33713 | 2006-11-15 |
| 1427089309 | Vikram P Mehta | Surgery | 4106 W. Lake Mary Blvd, Suite 224, Lake Mary, FL 32746 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH DAYTONA |
| Zip Code | 32119 |
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.