Northwest Family Health Center II, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHWEST FAMILY HEALTH CENTER II, LLC

Practice address

1630 Mason Ave Ste B
Daytona Beach, FL 32117-4503

Phone

(386) 888-4006

Fax

(407) 219-4221

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Garry Antoine, MD

Title

President & Ceo

Phone

(845) 821-1291

Specialties & licenses 1

Addresses

Other names 1

• Northwest Family Health Center Doing business as

Tax ID family

Northwest Family Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Family Health Center II, LLC

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1316647050
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nirva M Lindor-Antoine, M.D.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1023061579
  NPD (past)

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1669229944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951306",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327951306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE B",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-888-4006",
            "fax_number": "407-219-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5844 N Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328101025",
            "country_code": "US",
            "telephone_number": "407-602-1100 x1002",
            "fax_number": "407-219-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST FAMILY HEALTH CENTER II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "845-821-1291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassie C Norris, APRN
• Candice Nicole Norsesian, APRN
• North Florida Surgeons, PA
• Northport Health Services of Florida, LLC
• Northwest Family Health Center II, LLC
• Hannah Norton
• Kayla Norwood, M.S.N., A.R.N.P.
• Maria Fernanda Novoa Villavicencio, MD
• Nikkita Nozistel
• Iszenn Joy Nudalo-Briganti, ARNP

• Family Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.