Individual provider Active NPI

Juan C. Mas, M.D.

  • Allergy & Immunology Physician
  • Daytona Beach, FL
National Provider Identifier
1942386768
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME0052931 Issued in FL
Practice address
1890 Lpga Blvd Ste 355
Daytona Beach, FL 32117-7130
Phone
(386) 673-1323
Fax
(386) 676-7448
NPI assigned
Oct 27, 2006
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME0052931 FL Primary

Addresses

Primary practice location

1890 Lpga Blvd Ste 355
Daytona Beach, FL 32117-7130

Mailing address

2500 Legacy Dr Ste 200
Frisco, TX 75034-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120703000343 FL Practitioner - Allergy/Immunology 3476716093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Allergist of Florida LLCGroup PAC ID 9931232063, 23 clinicians

Practice addresses (Care Compare)

150 Southpark Blvd
Suite 104
St Augustine, FL 32086-5179
Phone (904) 826-3343

400 Tamiami TRL S
Suite 170
Venice, FL 34285-2612
Phone (941) 800-2901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Care of Florida Inc Allergy & Immunology CurrentSince Sep 21, 2024 Accepting new patients
Asthma and Allergy Specialist LLC Specialist CurrentSince Jan 1, 1997 Accepting new patients
Premier Allergist of Florida LLC Allergy & Immunology CurrentSince Feb 1, 2024 Accepting new patients

Locations

1890 Lpga Blvd
Ste 255
Daytona Beach, FL 32117
Phone (386) 274-3336

8461 Cypress Lake Dr
Fort Myers, FL 33919
Phone (239) 489-1398

1740 SE 18th St
Ste 1002
Ocala, FL 34471
Phone (352) 622-1126

785 W Granada Blvd
Ste 2
Ormond Beach, FL 32174
Phone (386) 673-1323

785 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (386) 673-1323

9 Pine Cone Dr
Ste 105
Palm Coast, FL 32137
Phone (386) 445-8533

150 Southpark Blvd
Ste 104
St Augustine, FL 32086
Phone (904) 826-3343

309 Lagrande Blvd
The Villages, FL 32159
Phone (352) 750-1999

400 Tamiami Trl S
Ste 170
Venice, FL 34285
Phone (941) 499-0392

2500 Legacy Dr
Ste 200
Frisco, TX 75034

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jmas744519@direct.shands.ufl.edu
  • Direct secure messaging: juan.mas.014.0090427@avh.meditab.direct-ci.com
  • Direct secure messaging: juan.mas.016.0090427@avh.meditab.direct-ci.com
  • Direct secure messaging: juan.mas.018.0090427@avh.meditab.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1942386768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEGACY DR STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD STE 355",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177130",
            "telephone_number": "386-673-1323",
            "fax_number": "386-676-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAS",
        "first_name": "JUAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0052931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.