| Northeast Florida Health Services, Inc. | |
|
801 Beville Rd Ste 101&102 South Daytona FL 32119-1860 | |
| (386) 267-6214 | |
| (386) 999-0414 |
| Full Name | Northeast Florida Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 801 Beville Rd Ste 101&102, South Daytona, Florida |
| Authorized Official Name and Position | Rebecca Collier (CREDENTIALING AND CONTRACTS ADMIN) |
| Authorized Official Contact | 3862026025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Florida Health Services, Inc. 1205 S Woodland Blvd Ste 3 Deland FL 32720-7464 Ph: (386) 202-6025 | Northeast Florida Health Services, Inc. 801 Beville Rd Ste 101&102 South Daytona FL 32119-1860 Ph: (386) 267-6214 |
| NPI Number | 1083381974 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083381974 | NPI | - | NPPES |
| 687955112 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Accdient & Injury Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Beville Rd, South Daytona, FL 32119 Phone: 386-668-9622 | |
Volusia Medical Center Daytona Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-424-1584 Fax: 386-410-4800 | |
Ano & Ano Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2089 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-761-5682 Fax: 386-760-4142 | |
Gohar S. Khan, M.d., P,a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Beville Rd, South Daytona, FL 32119 Phone: 386-767-9000 Fax: 386-767-3761 | |
After Hours Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Big Tree Rd, South Daytona, FL 32119 Phone: 386-506-8910 | |
Rizalina Leuterio Md P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-760-8116 Fax: 386-760-0532 |