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

Outreach Community Care Network, Inc

Organization Infectious Disease Physician · NPI 1952738049

Outreach Community Care Network, Inc is an Infectious Disease Physician in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
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

240 N Frederick Ave Ste D
Daytona Beach, FL 32114-3400
Phone: (386) 255-5569
Fax: (386) 257-1245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 12473 (FL)

Record details

NPI number1952738049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loretta Jennings — Executive Director · (386) 255-5569
NPI enumeratedOctober 3, 2013
Last updated in NPPESFebruary 20, 2014
Mailing address240 N Frederick Ave, Suite D, Daytona Beach, FL 32114-3400

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