NORTHEAST FLORIDA HEALTH SERVICES, INC.
NPI 1588339741
Clinic/Center - Dental in Deland, FL

Q: What is Northeast Florida Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since August 10, 2021

1205 S WOODLAND BLVD STE 5, DELAND, FL 32720(386) 888-4911(386) 269-9951 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northeast Florida Health Services, Inc. NPPES

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

NORTHEAST FLORIDA HEALTH SERVICES, INC. (NPI 1588339741), doing business as Family Health Source, is a healthcare organization registered as a dental in Deland, Florida and active in the NPI registry since August 2021. The organization lists Laurie Asbury, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588339741

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameNORTHEAST FLORIDA HEALTH SERVICES, INC.

Location Address1205 S WOODLAND BLVD STE 5Deland, FL 32720-7464

Mailing Address1205 S Woodland Blvd Ste 3Deland, FL 32720-7464 · (386) 202-6025 · Fax (386) 202-1755

Phone(386) 888-4911

Fax(386) 269-9951

Organization SubpartYes

Authorized OfficialLaurie AsburyCeo · (386) 202-6025

Enumeration DateAugust 10, 2021

NPPES CertifiedJuly 15, 2021

✔ NPI 1588339741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1205 S WOODLAND BLVD STE 5, Deland, FL 32720

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Other Names 1

Doing Business AsFamily Health Source

Other Identifiers 1

Medicaid687955108FL

Other Providers at the Same Location NPPES 4

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

MALENA BULLARD PHARM D

Pharmacist

1205 S WOODLAND BLVD STE 5
DELAND, FL 32720

Volusia County (386) 888-4912

NORTHEAST FLORIDA HEALTH SERVICES, INC.

Pharmacy (Community/Retail Pharmacy)

1205 S WOODLAND BLVD STE 5
DELAND, FL 32720

Volusia County (386) 202-6025

CHARLES B GREENHOUSE

Pharmacist

1205 S WOODLAND BLVD STE 5
DELAND, FL 32720

Volusia County (386) 888-4912

LEONEL TORRES DDS,MAGD

Dentist

1205 S WOODLAND BLVD STE 5
DELAND, FL 32720

Volusia County (386) 888-4911

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 Northeast Florida Health Services, Inc.'s NPI number?

The NPI number for Northeast Florida Health Services, Inc. is 1588339741. It was assigned to this organization in the NPPES registry on August 10, 2021. The provider is doing business as Family Health Source.

Where is Northeast Florida Health Services, Inc. located?

Northeast Florida Health Services, Inc. is located at 1205 S Woodland Blvd Ste 5, Deland, FL 32720. The listed phone number is (386) 888-4911.

What is Northeast Florida Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Northeast Florida Health Services, Inc. was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.