Deltona Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DELTONA MEDICAL CENTER LLC

Practice address

747 Fawn Ridge Dr Ste 200
Orange City, FL 32763-8268

Phone

(386) 668-9800

Fax

(386) 668-9800

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Esther Crisanto, RN

Title

Office Manager

Phone

(386) 668-9841

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1376661710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 FAWN RIDGE DR STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638268",
            "telephone_number": "386-668-9800",
            "fax_number": "386-668-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 FAWN RIDGE DR STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638268",
            "telephone_number": "386-668-9800",
            "fax_number": "386-668-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTONA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "CRISANTO",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-668-9841",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gennifer Elizabeth Dekalands, PTA
• Lalaine Dela Cruz, ARNP
• Brittany L Dellechiaie, APRN
• Delmar Glen Pack PA
• Deltona Medical Arts Pharmacy Inc
• Deltona Medical Center LLC
• Deltona Wellness & Psychiatry Clinic PLLC
• David Demetree, PA-C
• Denis J Gulliver Dcpa
• Denoff Orthopaedics, P.a.

• Internal Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.