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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: August 16, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Family Health Center II, LLC's NPI number?

The NPI number for Northwest Family Health Center II, LLC is 1316647050. It was assigned to this organization in the NPPES registry on March 9, 2023. The provider is doing business as Northwest Family Health Center.

Where is Northwest Family Health Center II, LLC located?

Northwest Family Health Center II, LLC is located at 1630 Mason Ave Ste B, Daytona Beach, FL 32117. The listed phone number is (386) 888-4006.

What is Northwest Family Health Center II, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Northwest Family Health Center II, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2291383) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northwest Family Health Center II, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Northwest Family Health Center II, LLC 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 Northwest Family Health Center II, LLC was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.