Saltwater Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SALTWATER FAMILY PRACTICE

Practice address

305 Clyde Morris Blvd Ste 200
Ormond Beach, FL 32174-8182

Phone

(386) 281-0939

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Lee Mercado, APRN

Title

Aprn

Phone

(386) 281-0939

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1952900953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 TUSCANY BEND ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175545",
            "telephone_number": "386-281-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD STE 200",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748182",
            "telephone_number": "386-281-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTWATER FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "386-281-0939",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Remun Said, DPT
• Salem Homes of Florida, Inc. (Rosewood Avenue Group Home)
• Salem Villages MRDD, Inc.
• Timothy Sami Salib, DMD
• Eric Saltsberg, PH.D., C.PED., CFO
• Saltwater Health & Wellness LLC
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
• Eleni Samaan, DC
• Karen Lee Samuels, PH.D.
• Stephanie R Sanchez, ACNP-BC,FNP-BC, ARNP

• Primary Care Clinic/Center in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.