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DELTONA MEDICAL CENTER LLC
NPI 1508285032
Non-Pharmacy Dispensing Site in Orange City, FL

Active since April 11, 2014
747 FAWN RIDGE DR, SUITE 200, ORANGE CITY, FL 32763(386) 668-9800 Get Directions Write a Review

NPPES record last updated: April 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deltona Medical Center Llc NPPES

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

DELTONA MEDICAL CENTER LLC (NPI 1508285032) is a healthcare organization registered as a non-pharmacy dispensing site in Orange City, Florida and active in the NPI registry since April 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1508285032
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDELTONA MEDICAL CENTER LLC
Location Address747 FAWN RIDGE DR, SUITE 200Orange City, FL 32763-8268
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(386) 668-9800
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateApril 11, 2014
✔ NPI 1508285032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in FL · ME71092
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

747 FAWN RIDGE DR, Orange City, FL 32763
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Other Names 1

Doing Business AsDeltona Medical Center Llc

Other Providers at the Same Location NPPES

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

CHOICES HEALTH CENTER, INC.
Clinic/Center
747 FAWN RIDGE DR, SUITE 100
ORANGE CITY, FL 32763
Volusia County (386) 456-1047

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 Deltona Medical Center LLC's NPI number?

The NPI number for Deltona Medical Center LLC is 1508285032. It was assigned to this organization in the NPPES registry on April 11, 2014.

Where is Deltona Medical Center LLC located?

Deltona Medical Center LLC is located at 747 Fawn Ridge Dr Suite 200, Orange City, FL 32763. The listed phone number is (386) 668-9800.

What is Deltona Medical Center LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Deltona Medical Center LLC was last updated on April 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.