METCARE DAYTONA BEACH – NPI #1427433135
Family Medicine

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.

METCARE DAYTONA BEACH is a provider located in DAYTONA BEACH, FL. NPPES has assigned the NPI number 1427433135 to METCARE DAYTONA BEACH on July 23, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. METCARE DAYTONA BEACH is also known by the name HUMANA PHYSICIAN GROUP. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Aug 19, 2024. 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 METCARE DAYTONA BEACH below.

NPI Profile for
METCARE DAYTONA BEACH

NPI Number
1427433135
Enumeration Date

(about 11 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
METCARE DAYTONA BEACH
Other Name: HUMANA PHYSICIAN GROUP
Other name(s)
All associated names:
Doing Business As (dba)
Conviva Care Center
Other Name
Humana Physician Group
Primary location
731 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-1603
Phone: (386) 257-1626 Fax:
Mailing address
6101 BLUE LAGOON DR STE 200
MIAMI, FL 33126-3168
Phone: (305) 500-2114 Fax: (305) 370-6024
Organization Subpart
Yes - METCARE DAYTONA BEACH is subpart of another organization.
Authorized Official
JESSICA BONETTI
ASSOCIATE DIRECTOR
Phone: (305) 500-2000
Updated
Certification Date
Aug 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for METCARE DAYTONA BEACH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PTANFLCX415B
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
207Q00000X
- Family Medicine (Primary)

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.