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

Kemshol Medical Center PA

Organization Clinic/Center · NPI 1023213469

Kemshol Medical Center PA is a Clinic/Center in Daytona Beach, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

984 Orange Ave
Daytona Beach, FL 32114-4667
Phone: (386) 226-3008
Fax: (386) 226-3044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1023213469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olubukunola Thomas — President · (407) 756-4541
NPI enumeratedJune 16, 2007
Last updated in NPPESOctober 27, 2007
Mailing address984 Orange Ave, Daytona Beach, FL 32114-4667

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