Active NPI
Family Health Center Pediatrics and Family Practice PA
- Family Medicine Physician
- New Smyrna Beach, FL
National Provider Identifier
1356446090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY HEALTH CENTER PEDIATRICS AND FAMILY PRACTICE PA
- Practice address
- 245 N Causeway
New Smyrna Beach, FL 32169 - Phone
- (386) 426-5800
- Fax
- (386) 426-1416
- NPI assigned
- Sep 14, 2006
- Last updated
- Oct 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dae Sung Choi, MD
- Title
- President
- Phone
- (386) 426-5800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
245 N Causeway
New Smyrna Beach, FL 32169
Mailing address
245 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 426-5800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- New Smyrna Beach, FL
- NPI 1558377986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1356446090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N CAUSEWAY",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "32169",
"telephone_number": "386-426-5800",
"fax_number": "386-426-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N CAUSEWAY",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "32169",
"telephone_number": "386-426-5800",
"fax_number": "386-426-1416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH CENTER PEDIATRICS AND FAMILY PRACTICE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "DAE SUNG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-426-5800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.