| Family Health Source | |
|
2160 Howland Blvd Ste 110 Deltona FL 32738 | |
| (386) 532-0515 | |
| (386) 532-0516 |
| Full Name | Family Health Source |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2160 Howland Blvd Ste 110, Deltona, Florida |
| Authorized Official Name and Position | Laurie Asbury (CEO) |
| Authorized Official Contact | 3866241054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 2160 Howland Blvd Ste 110 Deltona FL 32738 Ph: (386) 532-0515 |
| NPI Number | 1750546313 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 08/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750546313 | NPI | - | NPPES |
| 687955104 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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