SHORES MEDICAL CENTER
NPI 1215334370
Nurse Practitioner - Family in Daytona Beach Shores, FL

Q: What is Shores Medical Center's NPI number?

The NPI number for Shores Medical Center is 1215334370. It was assigned to this organization in the NPPES registry on December 4, 2014.

Q: What is Shores Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 04, 2014

3512 S ATLANTIC BLVD, DAYTONA BEACH SHORES, FL 32118(386) 767-9544 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shores Medical Center NPPES

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

SHORES MEDICAL CENTER (NPI 1215334370) is a healthcare organization registered as a family in Daytona Beach Shores, Florida and active in the NPI registry since December 2014. The organization lists Gerald Woodard, Owner, as its authorized official.

NPPES Registry Identity

NPI1215334370

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSHORES MEDICAL CENTER

Location Address3512 S ATLANTIC BLVDDaytona Beach Shores, FL 32118

Mailing Address3512 S Atlantic AveDaytona Beach Shores, FL 32118-7639 · (386) 767-9544

Phone(386) 767-9544

Organization SubpartNo

Authorized OfficialGerald WoodardOwner · (386) 767-9544

Enumeration DateDecember 4, 2014

✔ NPI 1215334370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP 3088302

3512 S ATLANTIC BLVD, Daytona Beach Shores, FL 32118

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shores Medical Center's NPI number?

The NPI number for Shores Medical Center is 1215334370. It was assigned to this organization in the NPPES registry on December 4, 2014.

Where is Shores Medical Center located?

Shores Medical Center is located at 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118. The listed phone number is (386) 767-9544.

What is Shores Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shores Medical Center was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.