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 1790452688

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

In the registry since
2021
Specialties on file
2
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

2160 Howland Blvd Ste 110
Deltona, FL 32738-3468
Phone: (386) 532-0515
Fax: (386) 532-0516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1790452688
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheast Florida Health Services, Inc
Authorized official Laurie Asbury — Ceo · (386) 749-9449
Other names Family Health Source
NPI enumeratedAugust 27, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 11, 2021
Mailing address1205 S Woodland Blvd Ste 3, Deland, FL 32720-7464

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