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ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
NPI 1073068458
Durable Medical Equipment & Medical Supplies in Daytona Beach, FL

Active since August 16, 2016CLIA Certified · 2 labs
1890 LPGA BOULEVARD, SUITE 240, DAYTONA BEACH, FL 32117(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 02, 2026.

Record update history: Aug 2, 2024, May 25, 2018, Mar 17, 2018 and 4 more (7 updates tracked since 2016).

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 1073068458) is a healthcare organization registered as a durable medical equipment & medical supplies in Daytona Beach, Florida and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates and lists Albert W Gillespy, President, as its authorized official.

NPPES Registry Identity

NPI1073068458
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
Location Address1890 LPGA BOULEVARD, SUITE 240Daytona Beach, FL 32117-7131
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 DateAugust 16, 2016
Last NPPES UpdateAugust 2, 20247 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1073068458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
1890 LPGA BOULEVARD, Daytona Beach, FL 32117
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2170409

Orthopaedic Clinic Of Daytona Beach · Palm Coast, FL
Active · expires Aug 11, 2027
CLIA Number10D2170409
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorRichard C. Sims
Laboratory Phone(386) 255-4596
Laboratory LocationOrthopaedic Clinic Of Daytona Beach17 Old Kings Rd North Ste K, Palm Coast, FL 32137
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2170410

Orthopaedic Clinic Of Daytona Beach · Port Orange, FL
Active · expires Aug 11, 2027
CLIA Number10D2170410
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorRichard C. Sims
Laboratory Phone(386) 255-4596
Laboratory LocationOrthopaedic Clinic Of Daytona Beach1175 Dunlawton Ave Ste 101, 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.

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 1073068458. It was assigned to this organization in the NPPES registry on August 16, 2016.

Where is Orthopaedic Clinic Of Daytona Beach PA located?

Orthopaedic Clinic Of Daytona Beach PA is located at 1890 Lpga Boulevard Suite 240, Daytona Beach, FL 32117. 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.

What insurance does Orthopaedic Clinic Of Daytona Beach PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Orthopaedic Clinic Of Daytona Beach PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.