ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
NPI 1558340240
Orthopaedic Surgery in Daytona Beach, FL

Q: What is Orthopaedic Clinic Of Daytona Beach PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since January 11, 2006

1865 LPGA BLVD, DAYTONA BEACH, FL 32117(386) 255-4596(386) 258-3561 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Aug 2, 2024, Apr 26, 2024 and 5 more (8 updates tracked since 2018).

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About Orthopaedic Clinic Of Daytona Beach Pa NPPES

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

ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA (NPI 1558340240) is a healthcare organization registered as an orthopaedic surgery in Daytona Beach, Florida and active in the NPI registry since January 2006. The organization maintains 4 additional practice locations and lists Albert W. Gillespy, President, as its authorized official.

NPPES Registry Identity

NPI1558340240

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameORTHOPAEDIC CLINIC OF DAYTONA BEACH PA

Location Address1865 LPGA BLVDDaytona Beach, FL 32117-7108

Mailing Address1865 Lpga BlvdDaytona Beach, FL 32117-7108 · (386) 255-4596 · Fax (386) 258-3561

Phone(386) 255-4596

Fax(386) 258-3561

Organization SubpartNo

Authorized OfficialAlbert W. GillespyPresident · (386) 255-4596

Enumeration DateJanuary 11, 2006

Last NPPES UpdateAugust 5, 20258 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1558340240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1865 LPGA BLVD, Daytona Beach, FL 32117

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Secondary Practice Locations 4

Location 117 Old Kings Rd N Ste KPalm Coast, FL 32137-8283 · Phone (386) 255-4596 · Fax (386) 258-3561

Location 21165 Dunlawton Ave Ste 102Port Orange, FL 32127-2924 · Phone (386) 255-4596 · Fax (386) 258-3561

Location 31175 Dunlawton Ave Ste 1Port Orange, FL 32127-4741 · Phone (386) 255-4596 · Fax (386) 258-3561

Location 41890 Lpga Blvd Ste 240Daytona Beach, FL 32117-7131 · Phone (386) 255-4596 · Fax (386) 258-3561

Other Identifiers 10

Medicaid036096104FL

Medicaid036096105FL

Medicaid104741300FL

Medicaid106515900FL

Medicaid036096101FL

Medicaid036096100FL

Medicaid105512000FL

Medicaid105512600FL

Medicaid036096103FL

Medicaid036096102FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

BRENT WILKINS PA-C

Physician Assistant