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SENIOR HEALTH CARE OF VOLUSIA
NPI 1669652681
Family Medicine - Adult Medicine in Daytona Beach, FL

Active since November 07, 2007
405 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 257-1626(386) 254-7507 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Senior Health Care Of Volusia NPPES

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

SENIOR HEALTH CARE OF VOLUSIA (NPI 1669652681) is a healthcare organization registered as an adult medicine in Daytona Beach, Florida and active in the NPI registry since November 2007. The organization lists Kenneth J Lucas, Owner, as its authorized official.

NPPES Registry Identity

NPI1669652681
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSENIOR HEALTH CARE OF VOLUSIA
Location Address405 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2730
Mailing Address405 N Clyde Morris BlvdDaytona Beach, FL 32114-2730 · (386) 257-1626 · Fax (386) 254-7507
Phone(386) 257-1626
Fax(386) 254-7507
Organization SubpartNo
Authorized OfficialKenneth J LucasOwner · (386) 257-1626
Enumeration DateNovember 7, 2007
Last NPPES UpdateDecember 13, 2007
✔ NPI 1669652681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
405 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
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Other Identifiers 1

Medicare PINK2204FL

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

Other Providers at the Same Location NPPES 3

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

EJAZ AHMED MD
Family Medicine
405 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 506-8555
KENNETH J LUCAS MD
Family Medicine
405 N CLYDE MORRIS BLVD, 405 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 257-1626
LISA TRACY ANN BRYAN UKAWUILULU APRN
Nurse Practitioner
405 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 506-8555

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 Senior Health Care Of Volusia's NPI number?

The NPI number for Senior Health Care Of Volusia is 1669652681. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Senior Health Care Of Volusia located?

Senior Health Care Of Volusia is located at 405 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 257-1626.

What is Senior Health Care Of Volusia's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Senior Health Care Of Volusia was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.