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

Orthopaedic Clinic of Daytona Beach PA

Organization Orthopaedic Surgery Physician · NPI 1063965325

Orthopaedic Clinic of Daytona Beach PA is an Orthopaedic Surgery Physician in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1165 Dunlawton Ave Ste 102
Port Orange, FL 32127-2924
Phone: (386) 255-4596
Fax: (386) 258-3561
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X (FL)

Record details

NPI number1063965325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Gillespy — President · (386) 255-4596
NPI enumeratedAugust 3, 2016
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address1865 Lpga Blvd, Daytona Beach, FL 32117-7108

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