MEDICAL HOLISTIC CENTER, LLC
NPI 1770747990
General Practice in New Smyrna Beach, FL

Active since July 16, 2008CLIA 10D2262743 · Waiver
512 CANAL ST, NEW SMYRNA BEACH, FL 32168(386) 663-3003(386) 663-3007 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medical Holistic Center, Llc NPPES

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

MEDICAL HOLISTIC CENTER, LLC (NPI 1770747990) is a healthcare organization registered as a general practice in New Smyrna Beach, Florida and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Katie Anne Stevenson, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1770747990
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL HOLISTIC CENTER, LLC
Location Address512 CANAL STNew Smyrna Beach, FL 32168-7012
Mailing Address512 Canal StNew Smyrna Beach, FL 32168-7012 · (386) 663-3003 · Fax (386) 663-3007
Fax(386) 663-3007
Organization SubpartNo
Authorized OfficialKatie Anne StevensonManaging Partner · (386) 663-3003
Enumeration DateJuly 16, 2008
NPI 1770747990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · OS9438
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
512 CANAL ST, New Smyrna Beach, FL 32168

Other Identifiers 3

Other279979100FL · Medipass
Medicaid279979100FL
Medicare UPIN124970FL

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2262743

Mhc Holdings Inc Dba Medical Health Centers · New Smyrna Beach, FL
Active · expires Jun 16, 2028
CLIA Number10D2262743
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorAdli J. Karadshes
Laboratory Phone(386) 663-3003
Laboratory LocationMhc Holdings Inc Dba Medical Health Centers912 N Dixie Fwy, New Smyrna Beach, FL 32168
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Psychologist
512 CANAL ST
NEW SMYRNA BEACH, FL 32168
Acupuncturist
512 CANAL ST
NEW SMYRNA BEACH, FL 32168

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 Medical Holistic Center, LLC's NPI number?

The NPI number for Medical Holistic Center, LLC is 1770747990. It was assigned to this organization in the NPPES registry on July 16, 2008.

Where is Medical Holistic Center, LLC located?

Medical Holistic Center, LLC is located at 512 Canal St, New Smyrna Beach, FL 32168. The listed phone number is (386) 663-3003.

What is Medical Holistic Center, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Medical Holistic Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2262743) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Holistic Center, LLC was last updated on July 16, 2008. 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.