MID FLORIDA NEURO DAYTONA LLC NPI 1912497827

NPI Information

NPI: 1912497827
Provider Name: MID FLORIDA NEURO DAYTONA, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1020 MASON AVE
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 317-5149
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MID FLORIDA NEURO DAYTONA, LLC is a medical specialty clinic center in Daytona Beach, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MID FLORIDA NEURO DAYTONA, LLC NPI is 1912497827. The provider is registered as an organization entity type.

The provider's business location address is:

1020 MASON AVE
DAYTONA BEACH, FL
ZIP 32117-612
Phone: (386) 317-5149

The provider's authorized official is Harry Vassilakis .
The authorized official title is Owner and has the following contact phone number (386) 212-8612.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 5/16/2018.

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
1	261QM2500X	Clinic/Center	Medical Specialty	ME91672	FLORIDA	Yes

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

NPI Synchronization or Removal

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