DELAND FAMILY MEDICINE PA NPI 1700997871

NPI Information

  • NPI: 1700997871
  • Provider Name: DELAND FAMILY MEDICINE PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DELAND FAMILY MEDICINE
  • Address: 1450 S WOODLAND BLVD
    SUITE 300C
    DELAND, FL
    ZIP 32720
  • Phone: (386) 740-1701

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NPI Details

DELAND FAMILY MEDICINE PA is a family medicine in Deland, FL. The provider is 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. DELAND FAMILY MEDICINE PA NPI is 1700997871. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Deland Family Medicine.

The provider's business location address is:

1450 S WOODLAND BLVD
SUITE 300C
DELAND, FL
ZIP 32720-767
Phone: (386) 740-1701
Fax: (386) 740-1798

The provider's authorized official is Melanie R Vandemark .
The authorized official title is Owner and has the following contact phone number (386) 740-1701.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME912900FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q0182OTHERFLORIDAMEDICARE PT AN
252043OTHERFLORIDABCBS OF FL
3I21452MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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