VOLUSIA MEDICAL CENTER LLC (NPI# 1902448715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902448715 |
| Entity Type | Organization |
| Organization Name | VOLUSIA MEDICAL CENTER LLC |
| Practice Address |
850 N. Stone Street Deland FL 32720 |
| Practice Telephone | 3864241584 |
| Practice Fax Number | 3864104800 |
| Mailing Telephone | 3864241584 |
| Mailing Fax Number | 3864104800 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | MRS. JESSICA STOREY (MA/OFFICE MANAGER) |
| Authorized Official Telephone | 3864241584 |
| Authorized Official Credential | MA |
| Is Organization Subpart | Y |
| Parent Organization Name | VOLUSIA MEDICAL CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009910800 | 05 |
| Other Name | Type Code |
|---|---|
| Volusia Medical Center of Deland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073936415 | Volusia Medical Center LLC | Non-Pharmacy Dispensing Site | 575 N Clyde Morris Blvd, Daytona Beach, FL 32114-2323 | 2014-01-21 |
| 1710309398 | Volusia Medical Center LLC | Non-Pharmacy Dispensing Site | 161 N Causeway, Suite A, New Smyrna Beach, FL 32169-5303 | 2014-01-15 |
| 1629279138 | Volusia Medical Center LLC | Family Medicine | 3900 Clark Rd Ste L2, Sarasota, FL 34233 | 2007-05-31 |
| Street Address |
850 N. STONE STREET |
| City | DELAND |
| State | FL |
| Zip Code | 32720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| 1275969628 | Deland Geriatric Care, Inc. | Assisted Living Facility | 208 Blue Crystal Drive, Deland, FL 32720 | 2013-09-17 |
| Find all providers in zip 32720 | ||||
| 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 |
|---|---|---|---|---|
| 1295275378 | Deland Medical Center LLC | Family Medicine | 320 S Spring Garden Ave, Ste D, Deland, FL 32720-5087 | 2017-03-08 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1225483803 | Wesley Kramer | Family Medicine | 2293 S Woodland Blvd, Deland, FL 32720-8633 | 2016-05-02 |
| 1972948826 | Carehere LLC | Family Medicine | 151 Victoria Commons Blvd Ste 103, Deland, FL 32724-7722 | 2013-05-06 |
| 1639443260 | Angella M. Glidden-wood | Family Medicine | 909 N Stone St, Deland, FL 32720-2521 | 2012-02-29 |
| 1932376282 | Fabiola Dutes Fairgrieve | Family Medicine | 2836 Shenandoah Rd, Deland, FL 32720-1426 | 2008-05-14 |
| 1407026016 | Northeast Florida Health Services Inc | Family Medicine | 844 W Plymouth Ave, Deland, FL 32720-3284 | 2008-03-11 |
| 1821268079 | Selma C Delima Md Pa | Family Medicine | 923 N Spring Garden Ave, Deland, FL 32720-2560 | 2008-03-04 |
| 1225217474 | Brent D. Schlapper | Family Medicine | 1015 N Stone St, Suite A, Deland, FL 32720-0802 | 2007-10-24 |
| 1447443411 | Craig Steven Dean | Family Medicine | 227 Ravenshill Way, Deland, FL 32724-7762 | 2007-08-23 |
| Find all providers in DELAND | ||||
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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.