MID FLORIDA NEURO DAYTONA, LLC – NPI #1912497827
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

MID FLORIDA NEURO DAYTONA, LLC is an AHC clinic located in DAYTONA BEACH, FL. NPPES has assigned the NPI number 1912497827 to MID FLORIDA NEURO DAYTONA, LLC on May 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MID FLORIDA NEURO DAYTONA, LLC below.

NPI Profile for
MID FLORIDA NEURO DAYTONA, LLC

NPI Number
1912497827
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MID FLORIDA NEURO DAYTONA, LLC
Primary location
1020 MASON AVE
DAYTONA BEACH, FL 32117-4612
Phone: (386) 317-5149 Fax:
Mailing address
807 BEVILLE RD
SOUTH DAYTONA, FL 32119-1824
Phone: (386) 456-4878 Fax:
Organization Subpart
No
Authorized Official
HARRY VASSILAKIS
OWNER
Phone: (386) 212-8612
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
FL ME91672

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.