| Adventhealth Deland | |
|
770 W Granada Blvd Ste 203 Ormond Beach FL 32174-5179 | |
| (386) 943-4522 | |
| Not Available |
| Full Name | Adventhealth Deland |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 770 W Granada Blvd Ste 203, Ormond Beach, Florida |
| Authorized Official Name and Position | Jonathan Armstrong (CFO) |
| Authorized Official Contact | 4074978195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Deland 701 W. Plymouth Avenue Deland FL 32720-3236 Ph: (386) 943-4522 | Adventhealth Deland 770 W Granada Blvd Ste 203 Ormond Beach FL 32174-5179 Ph: (386) 943-4522 |
| NPI Number | 1265529887 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 5991763724 |
|---|---|
| Medicare Enrollment ID | O20081106000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265529887 | NPI | - | NPPES |
| 010187700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 4436 (Florida) | Primary |
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