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

Marygrace Polsinelli

Individual provider Physician Assistant · NPI 1316820715

Marygrace Polsinelli is a Physician Assistant in Daytona Beach, Florida. Qualified in 2025, 1 year ago. Practices with Florida Hospital Healthcare Partners, Inc, a 605-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

305 Memorial Medical Pkwy Ste 401
Daytona Beach, FL 32117-5169
Phone: (386) 231-3540
Fax: (386) 231-3544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6675 Corporate Center Pkwy, Jacksonville, FL 32216-8079 — (904) 245-8910

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120681 (FL)

Record details

NPI number1316820715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Florida Hospital Healthcare Partners, Inc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Daytona Beach