Organization Active NPI

Arbor Vitae Natural Health Care, LLC

  • Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1811289358
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH2533 Issued in FL
Legal business name
ARBOR VITAE NATURAL HEALTH CARE, LLC
Practice address
116 Bay St
Daytona Beach, FL 32114-3234
Phone
(386) 453-5946
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Leonard Stephen Grand, D.C.
Title
Partner
Phone
38645359466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH2533 FL Primary
Clinic/Center 261Q00000X CH6374 FL

Addresses

Primary practice location

116 Bay St
Daytona Beach, FL 32114-3234

Mailing address

700 Largo Way
South Daytona, FL 32129-4103
Phone (386) 453-5946

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1811289358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LARGO WAY",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321294103",
            "telephone_number": "386-453-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BAY ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143234",
            "telephone_number": "386-453-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR VITAE NATURAL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "GRAND",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "38645359466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH2533",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH6374",
            "primary": false
        }
    ],
    "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 May 3, 2011; 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.