Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deltona Medical Center LLC

Organization Non-Pharmacy Dispensing Site · NPI 1508285032

Deltona Medical Center LLC is a Non-Pharmacy Dispensing Site in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

747 Fawn Ridge Dr Ste 200
Orange City, FL 32763-8268
Phone: (386) 668-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence ME71092 (FL)

Record details

NPI number1508285032
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Deltona Medical Center Llc
NPI enumeratedApril 11, 2014
Last updated in NPPESApril 11, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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