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

Shoreside Medical Center LLC

Organization General Practice Physician · NPI 1518371996

Shoreside Medical Center LLC is a General Practice Physician in New Smyrna Beach, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

419 E Third Ave
New Smyrna Beach, FL 32169
Phone: (386) 957-3800
Fax: (386) 426-5939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence OS8699 (FL)

Record details

NPI number1518371996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci Postell — Ceo · (386) 316-4111
NPI enumeratedJune 13, 2014
Last updated in NPPESJune 13, 2014
Mailing address449 Rockefeller Dr, New Smyrna, FL 32168-8937

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