NPIMap

Organization Active NPI

All Family Clinic of Daytona Beach, Inc

Doing business as Florida Medical Associates

  • Specialist
  • Orange City, FL
National Provider Identifier
1750472122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME31437 Issued in FL
Legal business name
ALL FAMILY CLINIC OF DAYTONA BEACH, INC
Doing business as
Florida Medical Associates
Practice address
1051 Town Center Drive
Orange City, FL 32763
Phone
(386) 774-8444
Fax
(386) 774-8735
NPI assigned
Sep 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank Severiano Alvarez, Jr. X, M.D.
Title
Medical Director
Phone
(386) 248-0107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME31437 FL Primary

Addresses

Primary practice location

1051 Town Center Drive
Orange City, FL 32763

Mailing address

1051 Town Center Drive
Orange City, FL 32763
Phone (386) 774-8444

Other names 1

  • Florida Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All Family Clinic of Daytona Beach Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750472122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 TOWN CENTER DRIVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-774-8444",
            "fax_number": "386-774-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 TOWN CENTER DRIVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-774-8444",
            "fax_number": "386-774-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL FAMILY CLINIC OF DAYTONA BEACH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ, JR.",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "SEVERIANO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "386-248-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME31437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.