Active NPI
Marcus Magidow, APRN
- Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11020310
- Practice address
- 1865 Lpga Blvd
Daytona Beach, FL 32117-7108 - Phone
- (386) 255-4596
- Fax
- (386) 258-3561
- NPI assigned
- Jun 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11020310 | FL | |
| Nurse Practitioner | 363L00000X | APRN11020310 | FL | Primary |
Addresses
Primary practice location
1865 Lpga Blvd
Daytona Beach, FL 32117-7108
Mailing address
1865 Lpga Blvd
Daytona Beach, FL 32117-7108
Phone (386) 255-4596
Other practice location 1
1 Memorial Medical Pkwy Ste 101
Palm Coast, FL 32164-5979
Phone (386) 586-4390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116728700 | Medicaid | FL |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1865 Lpga Blvd
Daytona Beach, FL 32117-7108
Phone (386) 255-4596
Hospital & facility affiliations
- Trilogy Home Healthcare
- AdventHealth Palm Coast
- Adventhealth Palm Coast Parkway
- Halifax Health Medical Center
- Adventhealth Daytona Beach
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Family | Current | Accepting new patients |
| Orthopaedic Clinic of Daytona Beach PA | Current | Accepting new patients | |
| Orthopaedic Clinic of Daytona Beach PA | Current | Accepting new patients | |
| Palm Harbor Family Practice and Walk in Clinic PA | Current | Accepting new patients | |
| F R Fruehan Family Practice Inc | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
1865 Lpga Blvd
Daytona Beach, FL 32117
Phone (386) 255-4596
1075 Mason Ave
Daytona Beach, FL 32117
Phone (386) 255-4596
1890 Lpga Blvd
Ste 240
Daytona Beach, FL 32117
Phone (386) 255-4596
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
17 Old Kings Rd N
Ste K
Palm Coast, FL 32137
Phone (386) 255-4596
9 Pine Cone Dr
Ste 102
Palm Coast, FL 32137
Phone (386) 445-6191
1175 Dunlawton Ave
Ste 1
Port Orange, FL 32127
Phone (386) 255-4596
1165 Dunlawton Ave
Ste 102
Port Orange, FL 32127
Phone (386) 255-4596
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/10735/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Daytona Beach, FL
- NPI 1558340240
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- General Practice Physician
- Palm Coast, FL
- NPI 1831311810
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Durable Medical Equipment & Medical Supplies
- Port Orange, FL
- NPI 1023678745
-
- Family Medicine Physician
- Palm Coast, FL
- NPI 1841316312
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- Home Health Agency
- Jacksonville, FL
- NPI 1871529347
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1376274654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 LPGA BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177108",
"telephone_number": "386-255-4596",
"fax_number": "386-258-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 LPGA BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177108",
"telephone_number": "386-255-4596",
"fax_number": "386-258-3561"
}
],
"practiceLocations": [
{
"address_1": "1 Memorial Medical Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321645979",
"country_code": "US",
"telephone_number": "386-586-4390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGIDOW",
"first_name": "MARCUS",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-18",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11020310",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11020310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116728700",
"state": "FL"
}
],
"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 Feb 19, 2026; 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.
- 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.