Senior Health Care of Volusia

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SENIOR HEALTH CARE OF VOLUSIA

Practice address

405 N Clyde Morris Blvd
Daytona Beach, FL 32114-2730

Phone

(386) 257-1626

Fax

(386) 254-7507

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J Lucas, MD

Title

Owner

Phone

(386) 257-1626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1669652681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142730",
            "telephone_number": "386-257-1626",
            "fax_number": "386-254-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142730",
            "telephone_number": "386-257-1626",
            "fax_number": "386-254-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH CARE OF VOLUSIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-257-1626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Selig, PA-C
• Priscilla Selig
• Norman B Seltzer, MD
• Senior Care Source, Inc.
• Senior Care Source, Inc.
• Senior Life LLC
• Senior Solutions, Inc
• Daniela Sepulveda Beltran, M.D.
• Jennifer Ann Serback, PMHNP
• Serene Resolutions LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.