| NPI | 1063903672 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2018-05-21 |
| Last Updated | 2025-01-28 |
| Authorized Official | Laurie Asbury CEO Phone: 3862026025 |
| Mailing Address | 1205 S Woodland Blvd Deland, FL 32720-7466 United States Phone: (386) 202-6025 | Fax: (386) 269-1847 📍 View Map |
| Primary Practice Address | 1205 S Woodland Blvd Ste 5 Deland, FL 32720-7464 United States Phone: (386) 202-6025 | Fax: (386) 269-1847 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | FL | - |
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About NPI 1063903672
Northeast Florida Health Services, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1063903672. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Deland, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-05-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063903672?
NPI 1063903672 belongs to Northeast Florida Health Services, Inc., a Pharmacy, Community/Retail Pharmacy in Deland, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063903672 active?
The current status of NPI 1063903672 in the NPPES registry is Active. The record was last updated on 2025-01-28.
What specialty is NPI 1063903672?
NPI 1063903672 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063903672?
You can verify NPI 1063903672 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063903672?
The primary practice address on file for NPI 1063903672 is 1205 S Woodland Blvd Ste 5, Deland, FL 32720-7464. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063903672 issued?
NPI 1063903672 was first issued (enumerated) on 2018-05-21. The NPPES record was last updated on 2025-01-28.
Practice Location Map
Northeast Florida Health Services, Inc. is located at 1205 S Woodland Blvd Ste 5, Deland, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Northeast Florida Health Services, Inc.. All records sourced from the CMS NPPES registry.