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ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
NPI 1023678745
Durable Medical Equipment & Medical Supplies in Port Orange, FL

Active since June 14, 2019CLIA Certified · 2 labs
1175 DUNLAWTON AVE STE 1, PORT ORANGE, FL 32127(386) 255-4596(386) 258-3561 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2024, Jun 14, 2019 (2 updates tracked since 2019).

About Orthopaedic Clinic Of Daytona Beach Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA (NPI 1023678745) is a healthcare organization registered as a durable medical equipment & medical supplies in Port Orange, Florida and active in the NPI registry since June 2019. The organization holds 2 active CLIA laboratory certificates and lists Albert W. Gillespy, President, as its authorized official.

NPPES Registry Identity

NPI1023678745
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
Location Address1175 DUNLAWTON AVE STE 1Port Orange, FL 32127-4741
Mailing Address1865 Lpga BlvdDaytona Beach, FL 32117-7108 · (386) 255-4596 · Fax (386) 258-3561
Phone(386) 255-4596
Fax(386) 258-3561
Organization SubpartNo
Authorized OfficialAlbert W. GillespyPresident · (386) 255-4596
Enumeration DateJune 14, 2019
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1023678745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1175 DUNLAWTON AVE STE 1, Port Orange, FL 32127
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2289915

Orthopaedic Clinic Of Daytona Beach PA · Port Orange, FL
Active · expires Sep 17, 2027
CLIA Number10D2289915
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorRichard C. Sims
Laboratory Phone(386) 255-4596
Laboratory LocationOrthopaedic Clinic Of Daytona Beach PA1165 Dunlawton Ave Suite 102, Port Orange, FL 32127
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2226589

Orthopaedic Clinic Of Daytona Beach · Daytona Beach, FL
Active · expires Jun 1, 2027
CLIA Number10D2226589
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorRichard C. Sims
Laboratory Phone(386) 255-4596
Laboratory LocationOrthopaedic Clinic Of Daytona Beach1890 Lpga Blvd Ste 240, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2308338

Orthopedic Clinic Of Daytona Beach, PA · Daytona Beach, FL
Expired · Jul 24, 2026
CLIA Number10D2308338
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorRichard C. Sims
Laboratory Phone(386) 255-4596
Laboratory LocationOrthopedic Clinic Of Daytona Beach, PA1865 Lpga Blvd, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthopaedic Clinic Of Daytona Beach PA's NPI number?

The NPI number for Orthopaedic Clinic Of Daytona Beach PA is 1023678745. It was assigned to this organization in the NPPES registry on June 14, 2019.

Where is Orthopaedic Clinic Of Daytona Beach PA located?

Orthopaedic Clinic Of Daytona Beach PA is located at 1175 Dunlawton Ave Ste 1, Port Orange, FL 32127. The listed phone number is (386) 255-4596.

What is Orthopaedic Clinic Of Daytona Beach PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Orthopaedic Clinic Of Daytona Beach PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Orthopaedic Clinic Of Daytona Beach PA was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.