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NORTHWEST FAMILY HEALTH CENTER II, LLC
NPI 1316647050
Family Medicine in Daytona Beach, FL

Active since March 09, 2023CLIA 10D2291383 · Waiver
1630 MASON AVE STE B, DAYTONA BEACH, FL 32117(386) 888-4006(386) 675-6610 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northwest Family Health Center Ii, Llc NPPES

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

NORTHWEST FAMILY HEALTH CENTER II, LLC (NPI 1316647050), doing business as Northwest Family Health Center, is a healthcare organization registered as a family medicine in Daytona Beach, Florida and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Garry Beaubrun Antoine, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1316647050
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHWEST FAMILY HEALTH CENTER II, LLC
Location Address1630 MASON AVE STE BDaytona Beach, FL 32117-4503
Mailing AddressPo Box 951306Lake Mary, FL 32795-1306 · (386) 888-4006 · Fax (386) 675-6610
Phone(386) 888-4006
Fax(386) 675-6610
Organization SubpartYesParent: Northwest Family Health Center
Authorized OfficialGarry Beaubrun AntoinePresident & Ceo · (845) 821-1291
Enumeration DateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1316647050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1630 MASON AVE STE B, Daytona Beach, FL 32117
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Other Names 1

Doing Business AsNorthwest Family Health Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D2291383

Northwest Family Health Center II LLC · Daytona Beach, FL
Active · expires Oct 9, 2027
CLIA Number10D2291383
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorGarry B. Antoine
Laboratory Phone(386) 888-4006
Laboratory LocationNorthwest Family Health Center II LLC1630 Mason Avenue Suite B, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

NORTHWEST FAMILY HEALTH CENTER II, LLC
Family Medicine
1630 MASON AVE STE B
DAYTONA BEACH, FL 32117
Volusia County (386) 888-4006

Frequently Asked Questions

What is NORTHWEST FAMILY HEALTH CENTER II, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1316647050, enumerated as an "organization" on March 09, 2023.

Where is the provider located?

The provider is located at 1630 MASON AVE STE B DAYTONA BEACH, FL 32117 and the phone number is (386) 888-4006.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does NORTHWEST FAMILY HEALTH CENTER II, LLC accept?

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama and Molina. Please consult your insurance carrier or call the provider to verify.