NORTHEAST FLORIDA HEALTH SERVICES, INC.
NPI 1144995317
Clinic/Center - Federally Qualified Health Center (FQHC) in Deland, FL

Active since August 10, 2021
1205 S WOODLAND BLVD STE 4, DELAND, FL 32720(386) 202-6025(386) 202-1755 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1144995317), doing business as Family Health Source, is a healthcare organization registered as a federally qualified health center (fqhc) in Deland, Florida and active in the NPI registry since August 2021. The organization lists Laurie Asbury, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144995317
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST FLORIDA HEALTH SERVICES, INC.
Location Address1205 S WOODLAND BLVD STE 4Deland, FL 32720-7464
Mailing Address1205 S Woodland Blvd Ste 3Deland, FL 32720-7464 · (386) 202-6025
Fax(386) 202-1755
Organization SubpartYes
Authorized OfficialLaurie AsburyCeo · (386) 202-6025
Enumeration DateAugust 10, 2021
NPPES CertifiedJuly 15, 2021
NPI 1144995317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
1205 S WOODLAND BLVD STE 4, Deland, FL 32720

Other Names 1

Doing Business AsFamily Health Source

Other Identifiers 1

Medicaid687955118FL

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

Other Providers at the Same Location NPPES 2

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

Physician Assistant
1205 S WOODLAND BLVD STE 4
DELAND, FL 32720
Nurse Practitioner (Pediatrics)
1205 S WOODLAND BLVD STE 4
DELAND, FL 32720

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 1144995317. It was assigned to this organization in the NPPES registry on August 10, 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 1205 S Woodland Blvd Ste 4, Deland, FL 32720. The listed phone number is (386) 202-6025.

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.

What insurance does Northeast Florida Health Services, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Northeast Florida Health Services, Inc. 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 Northeast Florida Health Services, Inc. was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.