Organization · Type 2 NPI

Northwest Family Health Center Ii, LLC

Family Medicine Physician · Daytona Beach, FL

NPI number 1316647050 Active

Practice location

1630 Mason Ave Ste B
Daytona Beach, FL 32117-4503

Call (386) 888-4006 Map

Fax (386) 675-6610

Mailing address

PO Box 951306
Lake Mary, FL 32795-1306

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Northwest Family Health Center Ii, LLCFamily Medicine Physician Daytona Beach, FL NPI 1669229944

Other family medicine physician providers in Daytona Beach

See all in Daytona Beach →

NPI record

NPI: 1316647050
Entity type: Organization (Type 2)
Issued: Mar 9, 2023
Last updated: Mar 9, 2023
Status: Active
Subpart: Yes of Northwest Family Health Center

Other names

Northwest Family Health Center · doing business as

Authorized official

Dr. Garry Beaubrun Antoine, MD
President & CEO
(845) 821-1291

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316647050

Northwest Family Health Center Ii, LLC's National Provider Identifier is 1316647050, issued on Mar 9, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Mar 9, 2023.