Organization Active NPI

Family First Health Center

  • Primary Care Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1922272996
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY FIRST HEALTH CENTER
Practice address
1898 S Clyde Morris Blvd
Daytona Beach, FL 32119-1579
Phone
(386) 492-1064
NPI assigned
Apr 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Authorized official

Name
Dr. Delicia Mone' Haynes, M.D.
Title
C.E.O.
Phone
(386) 492-1064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1898 S Clyde Morris Blvd
Daytona Beach, FL 32119-1579

Mailing address

788 Iowa St
Daytona Beach, FL 32114-1428
Phone (502) 608-4340

National Provider Directory

National Provider Directory

Locations

1898 S Clyde Morris Blvd
Ste 360
Daytona Beach, FL 32119
Phone (386) 492-1064

1898 S Clyde Morris Blvd
Daytona Beach, FL 32119
Phone (386) 492-1064

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1922272996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 IOWA ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141428",
            "telephone_number": "502-608-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 S CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191579",
            "telephone_number": "386-492-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DELICIA",
        "authorized_official_middle_name": "MONE'",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "386-492-1064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 21, 2008; 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.