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

Shores Medical Center

Organization Family Nurse Practitioner · NPI 1215334370

Shores Medical Center is a Family Nurse Practitioner in Daytona Beach Shores, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

3512 S Atlantic Blvd
Daytona Beach Shores, FL 32118
Phone: (386) 767-9544
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP 3088302 (FL)

Record details

NPI number1215334370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Woodard — Owner · (386) 767-9544
NPI enumeratedDecember 4, 2014
Last updated in NPPESDecember 4, 2014
Mailing address3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639

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