NPIMap

Organization Active NPI

Daybreak Pediatric Housecalls, P.a.

  • Community Health Clinic/Center
  • Mount Dora, FL
National Provider Identifier
1144627902
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
ARNP3084852 Issued in FL
Legal business name
DAYBREAK PEDIATRIC HOUSECALLS, P.A.
Practice address
925 Northside Dr
Mount Dora, FL 32757-2610
Phone
(352) 359-2757
Fax
(866) 215-0354
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. April Christina Haukoos, ARNP
Title
President
Phone
(352) 359-2757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X ARNP3084852 FL Primary

Addresses

Primary practice location

925 Northside Dr
Mount Dora, FL 32757-2610

Mailing address

PO Box 164
Mount Dora, FL 32756-0164
Phone (352) 359-2757

National Provider Directory

National Provider Directory
Tax ID family
Daybreak Pediatric Housecalls PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1144627902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327560164",
            "telephone_number": "352-359-2757",
            "fax_number": "866-215-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NORTHSIDE DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572610",
            "telephone_number": "352-359-2757",
            "fax_number": "866-215-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK PEDIATRIC HOUSECALLS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "HAUKOOS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-359-2757",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "ARNP3084852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.