FAMILY PRACTICE OF WEST VOLUSIA- DELAND
NPI 1760803555
Non-Pharmacy Dispensing Site in Deland, FL

Active since December 20, 2013
862 PEACHWOOD DR, DELAND, FL 32720(386) 960-2009 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Practice Of West Volusia- Deland NPPES

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

FAMILY PRACTICE OF WEST VOLUSIA- DELAND (NPI 1760803555) is a healthcare organization registered as a non-pharmacy dispensing site in Deland, Florida and active in the NPI registry since December 2013. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1760803555
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAMILY PRACTICE OF WEST VOLUSIA INC
Location Address862 PEACHWOOD DRDeland, FL 32720-0834
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateDecember 20, 2013
NPI 1760803555 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 · OS6029
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.)
862 PEACHWOOD DR, Deland, FL 32720

Other Names 1

Doing Business AsFamily Practice Of West Volusia- Deland

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 Family Practice Of West Volusia Inc's NPI number?

The NPI number for Family Practice Of West Volusia Inc is 1760803555. It was assigned to this organization in the NPPES registry on December 20, 2013. The provider is doing business as Family Practice Of West Volusia- Deland.

Where is Family Practice Of West Volusia Inc located?

Family Practice Of West Volusia Inc is located at 862 Peachwood Dr, Deland, FL 32720. The listed phone number is (386) 960-2009.

What is Family Practice Of West Volusia Inc'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 Family Practice Of West Volusia Inc was last updated on December 20, 2013. 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.