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2370 E International Speedway Blvd Deland FL 32724-2744 | |
| (386) 736-1105 | |
| (386) 736-3860 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2370 E International Speedway Blvd, Deland, Florida |
| Authorized Official Name and Position | Michael Landry (MANAGING PARTNER) |
| Authorized Official Contact | 3867361105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2370 E International Speedway Blvd Deland FL 32724-2744 Ph: (386) 736-1105 | 2370 E International Speedway Blvd Deland FL 32724-2744 Ph: (386) 736-1105 |
| NPI Number | 1093253890 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Medicare PECOS PAC ID | 4981942505 |
|---|---|
| Medicare Enrollment ID | O20190206002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093253890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carmelia Maria Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053784983 PECOS PAC ID: 9032498761 Enrollment ID: I20161119000478 |
| Provider Name | Giselle I Pineiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306323621 PECOS PAC ID: 0547664260 Enrollment ID: I20210803001576 |
| Provider Name | Joseph Alexander Halinski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982191557 PECOS PAC ID: 8224411301 Enrollment ID: I20220823001555 |
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 | |
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 |