Deland Family Medicine

LBN: Deland Family Medicine Pa
Deland Family Medicine is an health care organization with primary practice located at 1450 S Woodland Blvd Suite 300C, Deland FL 32720-7767. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Deland Family Medicine Pa can be contacted via phone (386) 740-1701, or through Vandemark, Melanie R via phone (386) 740-1701.

Contact Information

Primary practice address
1450 S Woodland Blvd Suite 300C Deland FL 32720-7767
Fax: (386) 740-1798
Website:
Authorized official contact:
Name: Vandemark, Melanie R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME912900 Florida

Profile Details

NPI number 1700997871
LBN Legal business name Deland Family Medicine Pa
DBA Doing business as Deland Family Medicine
Authorized official Vandemark, Melanie R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 21st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700997871 NPPES
Florida Other Q0182 MEDICARE PT AN
Florida Other 52043 MEDICARE PT AN

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