Northwest Family Health Center II, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHWEST FAMILY HEALTH CENTER II, LLC

Doing business as

Northwest Family Health Center

Practice address

1630 Mason Ave Ste B
Daytona Beach, FL 32117-4503

Phone

(386) 888-4006

Fax

(386) 675-6610

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHWEST FAMILY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Garry Beaubrun Antoine, MDNPI 1689073819

Title

President & Ceo

Phone

(845) 821-1291

Specialties & licenses 1

Addresses

Other names 1

• NORTHWEST FAMILY HEALTH CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Northwest Family Health Center2 organizations share this tax ID, including this one

Part of

Northwest Family Health Center

Other organizations with this tax ID 1

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

• Northwest Family Health Center II, LLC

  dba Northwest Family Health Center

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1669229944
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15847/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Family Health Center

  dba Northwest Urgent Care

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1750838041
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garry B Antoine, M.D.

  • General Practice Physician
  • Orlando, FL
  • NPI 1689073819
  Medicare reassignment NPD Authorized official
• Nirva M Lindor-Antoine, M.D.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1023061579
  Medicare reassignment NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1316647050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951306",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327951306",
            "telephone_number": "386-888-4006",
            "fax_number": "386-675-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE B",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-888-4006",
            "fax_number": "386-675-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY HEALTH CENTER II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST FAMILY HEALTH CENTER",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "BEAUBRUN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "845-821-1291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norman B. Seltzer MD PA
• Cassie C Norris, APRN
• Candice Nicole Norsesian, APRN
• North Florida Surgeons, PA (NFS Volusia Surgeons)
• Northport Health Services of Florida, LLC (Daytona Beach Health & Rehabilitation Center)
• Northwest Family Health Center II, LLC (Northwest Family Health Center)
• Hannah Norton
• Kayla Norwood, M.S.N., A.R.N.P.
• Maria Fernanda Novoa Villavicencio, MD
• Nikkita Nozistel

• Family Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.