Individual provider Active NPI

Benita Aifuwa

  • Student in an Organized Health Care Education/Training Program
  • Daytona Beach, FL
National Provider Identifier
1184568909
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1150 Red John Dr
Daytona Beach, FL 32124-1016
Phone
(386) 236-3183
NPI assigned
Apr 14, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1150 Red John Dr
Daytona Beach, FL 32124-1016

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304

Other practice location 1

1431 SW 1st Ave
Ocala, FL 34471-6500
Phone (352) 401-1000

Other practice location 2

301 Dr Carter Blvd
Bunnell, FL 32110-6212
Phone (386) 236-3200

Other practice location 3

1880 San Sebastian Vw
St Augustine, FL 32084-8684
Phone (800) 539-4228

Other practice location 4

1251 N Stone St
Deland, FL 32720-2584
Phone (800) 539-4228

Other practice location 5

207 San Juan Ave
Daytona Beach, FL 32114-3227
Phone (800) 539-4228

Other practice location 6

145 Cypress Point Pkwy
Palm Coast, FL 32164-8426
Phone (386) 283-5654

Other practice location 7

717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435
Phone (352) 426-2587

Other practice location 8

5664 SW 60th Ave
Ocala, FL 34474-5682
Phone (800) 539-4228

Other practice location 9

1220 Willis Ave
Daytona Beach, FL 32114-2810
Phone (800) 539-4228

Other practice location 10

3500 W International Speedway Blvd
Daytona Beach, FL 32124-1026
Phone (407) 906-3755

Other practice location 11

1004 Big Tree Rd
Daytona Beach, FL 32119-2400
Phone (800) 539-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maka McLoughlin, LLC Past Accepting new patients
Sma Healthcare Inc PastSince Aug 28, 2021 Accepting new patients
Mosaic Psychiatry LLC PastSince Nov 18, 2025 Accepting new patients
John G Symeonides M D LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1184568909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAGNOLIA AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RED JOHN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241016",
            "telephone_number": "386-236-3183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 SW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716500",
            "country_code": "US",
            "telephone_number": "352-401-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Dr Carter Blvd",
            "address_purpose": "LOCATION",
            "city": "Bunnell",
            "state": "FL",
            "postal_code": "321106212",
            "country_code": "US",
            "telephone_number": "386-236-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 San Sebastian Vw",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320848684",
            "country_code": "US",
            "telephone_number": "800-539-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 N Stone St",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327202584",
            "country_code": "US",
            "telephone_number": "800-539-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 San Juan Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321143227",
            "country_code": "US",
            "telephone_number": "800-539-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Cypress Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321648426",
            "country_code": "US",
            "telephone_number": "386-283-5654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 SW Martin Luther King Jr Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344711435",
            "country_code": "US",
            "telephone_number": "352-426-2587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5664 SW 60th Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344745682",
            "country_code": "US",
            "telephone_number": "800-539-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Willis Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142810",
            "country_code": "US",
            "telephone_number": "800-539-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 W International Speedway Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321241026",
            "country_code": "US",
            "telephone_number": "407-906-3755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Big Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321192400",
            "country_code": "US",
            "telephone_number": "800-539-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIFUWA",
        "first_name": "BENITA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.