Adventhealth Medical Group

LBN: Memorial Health Systems Inc
Adventhealth Medical Group is an health care organization with primary practice located at 305 Memorial Medical Pkwy Ste 205 , Daytona Beach FL 32117-5169. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Memorial Health Systems Inc can be contacted via phone (386) 231-3530, or through Domayer, Cory via phone (386) 231-3906.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 205 Daytona Beach FL 32117-5169
Phone: (386) 231-3530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Domayer, Cory
Phone: (386) 231-3906

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1922115914
LBN Legal business name Memorial Health Systems Inc
DBA Doing business as Adventhealth Medical Group
Authorized official Domayer, Cory
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Apr 28th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922115914 NPPES
Florida Other 40181J MEDICARE ID UNSPECIFIED

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