NPIMap

Organization Active NPI

Metcare of Florida Inc,

Doing business as Metcare of South Daytona

  • Clinic/Center
  • South Daytona, FL
National Provider Identifier
1881133908
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
METCARE OF FLORIDA INC,
Doing business as
Metcare of South Daytona
Practice address
711 Beville Rd
South Daytona, FL 32119-1823
Phone
(386) 760-8116
Fax
(386) 760-0532
NPI assigned
Feb 22, 2017
Organization subpart
Yes
Parent organization
METCARE OF FLORIDA INC,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Authorized official

Name
Gemma Rosello
Title
VP
Phone
(305) 500-2109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

711 Beville Rd
South Daytona, FL 32119-1823

Mailing address

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126-2055
Phone (786) 552-3143

Other names 1

  • Metcare of South Daytona Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metcare of New Smyrna Beach29 organizations share this tax ID, including this one
Part of
Metcare of New Smyrna Beach

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1881133908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR",
            "address_2": "STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262055",
            "telephone_number": "786-552-3143",
            "fax_number": "305-370-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191823",
            "telephone_number": "386-760-8116",
            "fax_number": "386-760-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE OF FLORIDA INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METCARE OF FLORIDA INC,",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-500-2109"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metcare of South Daytona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.