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NORTHEAST FLORIDA HEALTH SERVICES, INC.
NPI 1083381974
Clinic/Center - Federally Qualified Health Center (FQHC) in South Daytona, FL

Active since August 27, 2021
801 BEVILLE RD STE 101&102, SOUTH DAYTONA, FL 32119(386) 267-6214(386) 999-0414 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Northeast Florida Health Services, Inc. NPPES

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

NORTHEAST FLORIDA HEALTH SERVICES, INC. (NPI 1083381974), doing business as Family Health Source, is a healthcare organization registered as a federally qualified health center (fqhc) in South Daytona, Florida and active in the NPI registry since August 2021. The organization lists Rebecca Collier, Credentialing And Contracts Admin, as its authorized official.

NPPES Registry Identity

NPI1083381974
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST FLORIDA HEALTH SERVICES, INC.
Location Address801 BEVILLE RD STE 101&102South Daytona, FL 32119-1860
Mailing Address1205 S Woodland Blvd Ste 3Deland, FL 32720-7464 · (386) 202-6025
Phone(386) 267-6214
Fax(386) 999-0414
Organization SubpartYes
Authorized OfficialRebecca CollierCredentialing And Contracts Admin · (386) 202-6025
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 10, 2021
✔ NPI 1083381974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
801 BEVILLE RD STE 101&102, South Daytona, FL 32119
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Other Names 1

Doing Business AsFamily Health Source

Other Identifiers 1

Medicaid687955112FL

Other Providers at the Same Location NPPES

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

NORTHEAST FLORIDA HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
801 BEVILLE RD STE 101&102
SOUTH DAYTONA, FL 32119
Volusia County (386) 267-6214

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 Northeast Florida Health Services, Inc.'s NPI number?

The NPI number for Northeast Florida Health Services, Inc. is 1083381974. It was assigned to this organization in the NPPES registry on August 27, 2021. The provider is doing business as Family Health Source.

Where is Northeast Florida Health Services, Inc. located?

Northeast Florida Health Services, Inc. is located at 801 Beville Rd Ste 101&102, South Daytona, FL 32119. The listed phone number is (386) 267-6214.

What is Northeast Florida Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Northeast Florida Health Services, Inc. was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.