Active NPI
Salma Bouchibti
- Family Medicine Physician
- Daytona Beach, FL
National Provider Identifier
1225925621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11084
- Practice address
- 201 N Clyde Morris Blvd Ste 200
Daytona Beach, FL 32114-2765 - Phone
- (386) 425-4165
- NPI assigned
- Jun 19, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11084 | FL | Primary |
Addresses
Primary practice location
201 N Clyde Morris Blvd Ste 200
Daytona Beach, FL 32114-2765
Mailing address
201 N Clyde Morris Blvd Ste 200
Daytona Beach, FL 32114-2765
Phone (386) 425-4165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250714002505 | FL | Order and Referring Only - Family Practice | 2466967013 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11084 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1225925621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N CLYDE MORRIS BLVD STE 200",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142765",
"telephone_number": "386-425-4165",
"fax_number": "386-425-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N CLYDE MORRIS BLVD STE 200",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142765",
"telephone_number": "386-425-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHIBTI",
"first_name": "SALMA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-19",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "11084",
"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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.