DAYTONA PLASTIC SURGERY, P.L.
NPI 1073883971
Clinic/Center in Port Orange, FL

Active since January 09, 2012
4606 S CLYDE MORRIS BLVD, SUITE 1 L, PORT ORANGE, FL 32129(386) 756-9009(386) 756-3006 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daytona Plastic Surgery, P.l. NPPES

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

DAYTONA PLASTIC SURGERY, P.L. (NPI 1073883971) is a healthcare organization registered as a clinic/center in Port Orange, Florida and active in the NPI registry since January 2012. The organization lists Vijay J Moradia, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1073883971
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDAYTONA PLASTIC SURGERY, P.L.
Location Address4606 S CLYDE MORRIS BLVD, SUITE 1 LPort Orange, FL 32129-6404
Mailing Address4606 S Clyde Morris Blvd, Suite 1 LPort Orange, FL 32129-6404 · (386) 756-9009 · Fax (386) 756-3006
Fax(386) 756-3006
Organization SubpartNo
Authorized OfficialVijay J MoradiaManaging Member · (386) 756-9009
Enumeration DateJanuary 9, 2012
NPI 1073883971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · ME 62606
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4606 S CLYDE MORRIS BLVD, Port Orange, FL 32129

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
4606 S CLYDE MORRIS BLVD, STE.1D
PORT ORANGE, FL 32129
Chiropractor
4606 S CLYDE MORRIS BLVD, STE 1M
PORT ORANGE, FL 32129
Clinic/Center (Podiatric)
4606 S CLYDE MORRIS BLVD, 1 J
PORT ORANGE, FL 32129
Physical Therapist
4606 S CLYDE MORRIS BLVD, SUITE 1-D
PORT ORANGE, FL 32129
Podiatrist (Primary Podiatric Medicine)
4606 S CLYDE MORRIS BLVD, STE 1J
PORT ORANGE, FL 32129
Chiropractor
4606 S CLYDE MORRIS BLVD, SUITE 1M
PORT ORANGE, FL 32129
Physical Therapist
4606 S CLYDE MORRIS BLVD, SUITE 1-D
PORT ORANGE, FL 32129
Physical Therapist
4606 S CLYDE MORRIS BLVD, SUITE 1-D
PORT ORANGE, FL 32129

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 Daytona Plastic Surgery, P.L.'s NPI number?

The NPI number for Daytona Plastic Surgery, P.L. is 1073883971. It was assigned to this organization in the NPPES registry on January 9, 2012.

Where is Daytona Plastic Surgery, P.L. located?

Daytona Plastic Surgery, P.L. is located at 4606 S Clyde Morris Blvd Suite 1 L, Port Orange, FL 32129. The listed phone number is (386) 756-9009.

What is Daytona Plastic Surgery, P.L.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Daytona Plastic Surgery, P.L. was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.