Shores Medical Center Daytona

LBN: Gerald R Woodard Do Pa
Shores Medical Center Daytona is an health care organization with primary practice located at 3512 S Atlantic Ave , Daytona Beach Shores FL 32118-7639. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Gerald R Woodard Do Pa can be contacted via phone (386) 767-9544, or through Heine, Kenny via phone (858) 964-1506.

Contact Information

Primary practice address
3512 S Atlantic Ave Daytona Beach Shores FL 32118-7639
Phone: (386) 767-9544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 964-1506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X OS4717 Florida

Profile Details

NPI number 1497166417
LBN Legal business name Gerald R Woodard Do Pa
DBA Doing business as Shores Medical Center Daytona
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date May 13th, 2014
Last updated May 13th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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