NPIMap

Organization Active NPI

Florida Department of Health

Doing business as Volusia County Health Department

  • Public Health or Welfare Agency
  • Daytona Beach, FL
National Provider Identifier
1831158039
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Doing business as
Volusia County Health Department
Practice address
1845 Holsonback Dr
Daytona Beach, FL 32117-5114
Phone
(386) 274-0500
Fax
(386) 274-0800
NPI assigned
Mar 17, 2006
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Stephen Civitelli, RS, MPH
Title
Administrator/Health Officer
Phone
(386) 274-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1845 Holsonback Dr
Daytona Beach, FL 32117-5114

Mailing address

PO Box 9190
Daytona Beach, FL 32120-9190
Phone (386) 274-0500

Other names 1

  • Volusia County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331001167 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 9 practitioners
Practice locations: Orange City, FL; New Smyrna Beach, FL; Daytona Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0685475Volusia County Health Department1845 Holsonback Dr, Daytona Beach, FL 32117Provider-performed microscopySep 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Bay Co Health185 organizations share this tax ID, including this one
Part of
Bay Co Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1845 Holsonback Dr
Daytona Beach, FL 32117
Phone (386) 274-0500

3151 Howland Blvd
Deltona, FL 32725
Phone (386) 274-0500

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Walton Community Health CenterDefuniak Springs, FL, CCN 101136 Federally qualified health center Operational/Managerial Control (100%) Sep 7, 2010
Bradford Community Health Care IncStarke, FL, CCN 101182 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2013

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1831158039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321209190",
            "telephone_number": "386-274-0500",
            "fax_number": "386-274-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 HOLSONBACK DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175114",
            "telephone_number": "386-274-0500",
            "fax_number": "386-274-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA DEPARTMENT OF HEALTH",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "CIVITELLI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/HEALTH OFFICER",
        "authorized_official_telephone_number": "386-274-0800",
        "authorized_official_credential": "RS, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volusia County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.