| Family Health Source | |
|
1200 Deltona Blvd Deltona FL 32725-6306 | |
| (386) 202-6025 | |
| Not Available |
| Full Name | Family Health Source |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Deltona Blvd, Deltona, Florida |
| Authorized Official Name and Position | Rebecca Collier (CREDENTIALING/CONTRACTS ADMIN) |
| 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 3 Deland FL 32720-7464 Ph: (386) 202-6025 | Family Health Source 1200 Deltona Blvd Deltona FL 32725-6306 Ph: (386) 202-6025 |
| NPI Number | 1427605534 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 0547249518 |
|---|---|
| Medicare Enrollment ID | O20200504000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427605534 | NPI | - | NPPES |
| 687955119 | Medicaid | FL |
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