DR. JOSHUA DALE GRUBE (NPI# 1669852984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669852984 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA DALE GRUBE |
| Credential | M.D. |
| Practice Address |
1165 Dunlawton Ave Ste 105 Port Orange FL 32127 |
| Mailing Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
| Practice Telephone | 3864254787 |
| Practice Fax Number | 3864254788 |
| Mailing Telephone | 3862264590 |
| Mailing Fax Number | 3862263371 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME129958 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | ME129958 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 N Clyde Morris Blvd, Daytona Beach, FL 321142709 | 3862264542 | 3864257705 |
| Street Address |
1165 DUNLAWTON AVE STE 105 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093111510 | Keri Long Miller | Physician Assistant | 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127-2924 | 2014-11-11 |
| 1568941714 | Candice Marois | Nurse Practitioner | 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127-2924 | 2018-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134504855 | Metcare of Florida, Inc. | Family Medicine | 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 | 2015-07-23 |
| 1952637530 | Elizabeth M Daquila | Family Medicine | 851 Dunlawton Ave Ste 102, Port Orange, FL 32127-4234 | 2009-11-02 |
| 1417118100 | Daniel Gregory Gottlieb | Family Medicine | 790 Dunlawton Ave Ste E, Port Orange, FL 32127-4222 | 2008-06-24 |
| 1295925030 | Anunporn Srisawat | Family Medicine | 4554 S Clyde Morris Blvd, Suite 2, Port Orange, FL 32129-5403 | 2007-07-27 |
| 1831263458 | Richard S Mohammed | Family Medicine | 6114 Pheasant Ridge Dr, Port Orange, FL 32128-6984 | 2006-11-17 |
| 1154409431 | Raul L Zimmerman | Family Medicine | 3800 Woodbriar Trl, Port Orange, FL 32129-9626 | 2006-11-02 |
| 1407964141 | David Billmeier | Family Medicine | 5111 S Ridgewood Ave Ste 301, Port Orange, FL 32127-5170 | 2006-08-25 |
| 1497766331 | Wagid Fahim Guirgis | Family Medicine | 3953 S Nova Rd, Port Orange, FL 32127-4910 | 2006-08-09 |
| 1467469700 | Bhadresh I Patel | Family Medicine | 802 Dunlawton Ave, Ste 101, Port Orange, FL 32127 | 2006-08-01 |
| 1043224538 | Michael Morgan Dietch IIi | Family Medicine | 3875 S Nova Rd, Port Orange, FL 32127-4950 | 2006-07-28 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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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.