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DAYTONA BEACH WOMENS CENTER INC NPI 1831241470


NPI Information

NPI: 1831241470
Provider Name: DAYTONA BEACH WOMENS CENTER INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 10D0884907

Address:
1630 MASON AVE
STE A
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 274-1005
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DAYTONA BEACH WOMENS CENTER INC is an obstetrics gynecology in Daytona Beach, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DAYTONA BEACH WOMENS CENTER INC NPI is 1831241470. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1630 MASON AVE
STE A
DAYTONA BEACH, FL
ZIP 32117-547
Phone: (386) 274-1005
Fax: (386) 274-5779

The provider's authorized official is Scott Baker .
The authorized official title is Practice Manager and has the following contact phone number (386) 274-1005.

The CLIA number assigned to this NPI record is 10D0884907 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/16/2007 and was last updated on 11/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AE755MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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