| Family Health Source | |
|
1205 S Woodland Blvd Ste 3 Deland FL 32720-7464 | |
| (386) 202-6025 | |
| (386) 202-1755 |
| Full Name | Family Health Source |
|---|---|
| Speciality | Clinic/Center |
| Location | 1205 S Woodland Blvd Ste 3, Deland, Florida |
| Authorized Official Name and Position | Rebecca Collier (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3862026025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Source 1205 S Woodland Blvd Ste 7 Deland FL 32720-7466 Ph: (386) 202-6025 | Family Health Source 1205 S Woodland Blvd Ste 3 Deland FL 32720-7464 Ph: (386) 202-6025 |
| NPI Number | 1467907626 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 0547249518 |
|---|---|
| Medicare Enrollment ID | O20130814000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467907626 | NPI | - | NPPES |
| 687955117 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Samuel M Edwards M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 W Plymouth Ave, Deland, FL 32720 Phone: 386-736-7244 Fax: 386-736-8538 | |
Mohan L Sharma Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 East Rich Ave, Deland, FL 32724 Phone: 386-736-1444 Fax: 386-736-9337 | |
Stockhammer Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2370 E International Speedway Blvd, Deland, FL 32724 Phone: 386-736-1105 Fax: 386-736-3860 | |
Medexpress Urgent Care - Deland, N Woodland Blvd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-0574 Fax: 386-738-0573 | |
Emmanuel Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 N Stone St, Deland, FL 32720 Phone: 386-279-7726 Fax: 386-873-2927 | |
Northeast Florida Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 S Woodland Blvd Ste 4, Deland, FL 32720 Phone: 386-202-6025 Fax: 386-202-1755 | |
Physicians Medical And Injury Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 S Woodland Blvd Ste 200a, Deland, FL 32720 Phone: 386-279-0943 Fax: 386-873-4217 |