NPIMap

Organization Active NPI

Florida Health Care Plan, Inc

  • Managed Care Organization Pharmacy
  • Port Orange, FL
National Provider Identifier
1164546875
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
PH23783 Issued in FL
Legal business name
FLORIDA HEALTH CARE PLAN, INC
Practice address
740 Dunlawton Ave
Ste 150
Port Orange, FL 32127-4239
Phone
(386) 767-0563
Fax
(386) 761-7095
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Dr. Christopher J. Smith
Title
Cmo
Phone
(386) 615-5008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Managed Care Organization Pharmacy 3336M0003X PH23783 FL Primary

Addresses

Primary practice location

740 Dunlawton Ave
Ste 150
Port Orange, FL 32127-4239

Mailing address

2450 Mason Ave
Daytona Beach, FL 32114-5110
Phone (386) 615-5008

Other identifiers 1

IdentifierTypeStateIssuer
2004150OtherPK

Other names 1

  • FLORIDA HEALTH CARE PLAN PHARMACY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0993384Florida Health Care Plan Inc740 Dunlawton Suite 200, Port Orange, FL 32127Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Florida HLTH Care Plan20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

740 Dunlawton Ave
Ste 150
Port Orange, FL 32127
Phone (386) 767-0563

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1164546875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145110",
            "telephone_number": "386-615-5008",
            "fax_number": "386-676-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 DUNLAWTON AVE",
            "address_2": "STE 150",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274239",
            "telephone_number": "386-767-0563",
            "fax_number": "386-761-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEALTH CARE PLAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "386-615-5008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "FL",
            "license": "PH23783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004150",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA HEALTH CARE PLAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLORIDA HEALTH CARE PLAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.