Active NPI
Florida Care Medical Center Inc
- Family Medicine Physician
- Deland, FL
National Provider Identifier
1861306110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FLORIDA CARE MEDICAL CENTER INC
- Practice address
- 955 S Woodland Blvd
Deland, FL 32720-7321 - Phone
- (407) 842-8283
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Organization subpart
- Yes
- Parent organization
- FLORIDA CARE MEDICAL CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pedro Enrique Lastres Hernandez
- Title
- Authorized Official
- Phone
- (786) 558-5772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
955 S Woodland Blvd
Deland, FL 32720-7321
Mailing address
121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1891553335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1861306110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S ORANGE AVE STE 940",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 S WOODLAND BLVD",
"city": "DELAND",
"state": "FL",
"postal_code": "327207321",
"telephone_number": "407-842-8283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA CARE MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FLORIDA CARE MEDICAL CENTER INC",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "LASTRES HERNANDEZ",
"authorized_official_first_name": "PEDRO",
"authorized_official_middle_name": "ENRIQUE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "786-558-5772"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
- Diana Fitch
- James William Fitch, PA-C
- Ivan Fleishman, PSY.D
- Whidden Flores
- Florida Cancer Specialists & Research Institute, LLC
- Florida Eye Clinic P a
- Florida Health Care Plan Inc (Florida Health Care Plan Pharmacy)
- Florida Health Care Plan, Inc. (FHCP Onsite Clinic Deland)
- Florida Oncology Network PA
- Florida Orthopaedic Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.