BEACHSIDE MEDICAL CENTER NPI 1891197448

NPI Information

  • NPI: 1891197448
  • Provider Name: BEACHSIDE MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2100598
  • Address: 233 N CAUSEWAY
    NEW SMYRNA BEACH, FL
    ZIP 32169
  • Phone: (386) 957-9850

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NPI Details

BEACHSIDE MEDICAL CENTER is a family medicine in New Smyrna Beach, 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. BEACHSIDE MEDICAL CENTER NPI is 1891197448. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

233 N CAUSEWAY
NEW SMYRNA BEACH, FL
ZIP 32169-239
Phone: (386) 957-9850
Fax: (386) 410-3731

The provider's authorized official is Dina Marie Doolin .
The authorized official title is President and has the following contact phone number (386) 975-9850.

The CLIA number assigned to this NPI record is 10D2100598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2014 and was last updated on 5/16/2024.

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 MedicineOS8699FLORIDAYes

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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