Allergy Diagnostics of Central FL
Organization Active NPI Family Medicine Physician · Orange City, FL
NPI 1407054166 · NPPES record last updated Nov 23, 2015
Key facts
- NPI
- 1407054166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS0003567 (FL)
- Legal business name
- ALLERGY DIAGNOSTICS OF CENTRAL FL
- Practice address
- 211 S Volusia Ave
Orange City, FL 32763-5839 - Phone
- (386) 775-7500
- Fax
- (386) 775-1904
- NPI assigned
- Jul 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark E Webster, D.O.
- Title
- Owner
- Phone
- (386) 775-7500
Practitioners 1
National Provider Directory
Locations
211 S Volusia Ave
Orange City, FL 32763
Phone (386) 775-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OS0003567 | FL | Yes |
Addresses
Primary practice location
211 S Volusia Ave
Orange City, FL 32763-5839
Mailing address
211 S Volusia Ave
Orange City, FL 32763-5839
Phone (386) 775-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059256100 | Medicaid | FL |
Other names
- WEBSTER MEDICAL CLINIC
Other providers in Orange City, FL
- Andrea Cecilia Alegria Roa
- Taylor Christine Aleman
- All Family Clinic of Daytona Beach, Inc
- Jacob Michael Allan
- Courtney Nicole Allen
- Beatrice E Alvarado Roberts
- Mario H. Alvarado
- Kimberly Alvarez
- American Ortho-Tech Laboratories, Inc.
- Ram M Amilineni
All providers in Orange City, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.