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

Northeast Florida Health Services, Inc

Organization Family Medicine Physician · NPI 1144995317

Northeast Florida Health Services, Inc is a Family Medicine Physician in Deland, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1205 S Woodland Blvd Ste 4
Deland, FL 32720-7464
Phone: (386) 202-6025
Fax: (386) 202-1755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1144995317
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheast Florida Health Services, Inc
Authorized official Laurie Asbury — Ceo · (386) 202-6025
Other names Family Health Source
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 10, 2021
Certification dateJuly 15, 2021
Mailing address1205 S Woodland Blvd Ste 3, Deland, FL 32720-7464

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