Organization Active NPI

Diggs Miracle Care of Volusia and Flagler Counties, Inc.

  • Voluntary or Charitable Agency
  • Daytona Beach, FL
National Provider Identifier
1427385632
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
DIGGS MIRACLE CARE OF VOLUSIA AND FLAGLER COUNTIES, INC.
Practice address
875 Dr Mary McLeod Bethune Blvd
Suite B
Daytona Beach, FL 32114-3602
Phone
(386) 323-9067
NPI assigned
Nov 9, 2009
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Ms. Teresa M Broxton
Title
Program Manager
Phone
(386) 323-9855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

875 Dr Mary McLeod Bethune Blvd
Suite B
Daytona Beach, FL 32114-3602

Mailing address

875 Dr Mary McLeod Bethune Blvd
Suite B
Daytona Beach, FL 32114-3602
Phone (386) 323-9067

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1427385632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 DR MARY MCLEOD BETHUNE BLVD",
            "address_2": "SUITE B",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143602",
            "telephone_number": "386-323-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 DR MARY MCLEOD BETHUNE BLVD",
            "address_2": "SUITE B",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143602",
            "telephone_number": "386-323-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGGS MIRACLE CARE OF VOLUSIA AND FLAGLER COUNTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "BROXTON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "386-323-9855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 9, 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.