1. Home
  2. Directory
  3. Florida
  4. Daytona Beach
  5. Specialist
  6. NPI Profile

MJA HEALTHCARE OF FLORIDA, PC
NPI 1407286727
Specialist in Daytona Beach, FL

Active since November 22, 2013
912 S. RIDGEWOOD AVENUE, SUITE D, DAYTONA BEACH, FL 32114(570) 872-9800(570) 872-9888 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mja Healthcare Of Florida, Pc NPPES

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

MJA HEALTHCARE OF FLORIDA, PC (NPI 1407286727) is a healthcare organization registered as a specialist in Daytona Beach, Florida and active in the NPI registry since November 2013. The organization lists Mikhail Artamonov, Owner, as its authorized official.

NPPES Registry Identity

NPI1407286727
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMJA HEALTHCARE OF FLORIDA, PC
Location Address912 S. RIDGEWOOD AVENUE, SUITE DDaytona Beach, FL 32114
Mailing Address391 E Brown StEast Stroudsburg, PA 18301-9101 · (570) 241-9224 · Fax (570) 872-9888
Phone(570) 872-9800
Fax(570) 872-9888
Organization SubpartNo
Authorized OfficialMikhail ArtamonovOwner · (570) 241-9224
Enumeration DateNovember 22, 2013
Last NPPES UpdateFebruary 10, 2014
✔ NPI 1407286727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD424898
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
912 S. RIDGEWOOD AVENUE, Daytona Beach, FL 32114
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI18217PA

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 Mja Healthcare Of Florida, PC's NPI number?

The NPI number for Mja Healthcare Of Florida, PC is 1407286727. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Mja Healthcare Of Florida, PC located?

Mja Healthcare Of Florida, PC is located at 912 S. Ridgewood Avenue Suite D, Daytona Beach, FL 32114. The listed phone number is (570) 872-9800.

What is Mja Healthcare Of Florida, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mja Healthcare Of Florida, PC was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.