| West Volusia Family And Sports Medicine Inc | |
|
1590 S State Road 15a Ste 100 Deland FL 32720-7817 | |
| (386) 774-0016 | |
| Not Available |
| Full Name | West Volusia Family And Sports Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1590 S State Road 15a Ste 100, Deland, Florida |
| Authorized Official Name and Position | John Hill (OWNER / PROVIDER) |
| Authorized Official Contact | 3867740016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Volusia Family And Sports Medicine Inc 1590 S State Road 15a Ste 100 Deland FL 32720-7817 Ph: (386) 774-0016 | West Volusia Family And Sports Medicine Inc 1590 S State Road 15a Ste 100 Deland FL 32720-7817 Ph: (386) 774-0016 |
| NPI Number | 1548584600 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 04/07/2025 |
| Medicare PECOS PAC ID | 1456483098 |
|---|---|
| Medicare Enrollment ID | O20100719000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548584600 | NPI | - | NPPES |
| 000TF | Other | FL | BCBS |
| 002241400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME93242 (Florida) | Primary |
| Provider Name | John M Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558380444 PECOS PAC ID: 4789619362 Enrollment ID: I20051003000433 |
| Provider Name | Angelia Lynn Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366866204 PECOS PAC ID: 7517182785 Enrollment ID: I20140701001463 |
| Provider Name | Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073051827 PECOS PAC ID: 9133406713 Enrollment ID: I20170509000943 |
| Provider Name | Steven Trai Shinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144648809 PECOS PAC ID: 9234450123 Enrollment ID: I20190612001823 |
| Provider Name | John C Hervert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235428921 PECOS PAC ID: 1355585753 Enrollment ID: I20211116001804 |
| Provider Name | Nathan S Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558823922 PECOS PAC ID: 8820327844 Enrollment ID: I20220813000194 |
| Provider Name | Christian Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689256059 PECOS PAC ID: 7517369572 Enrollment ID: I20240828001312 |
| Provider Name | Pamela M Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225700909 PECOS PAC ID: 5890236327 Enrollment ID: I20240924001270 |
| Provider Name | Sarah C Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922636851 PECOS PAC ID: 6406274182 Enrollment ID: I20241219002454 |
| Provider Name | Christie Ellen King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750631669 PECOS PAC ID: 5597915454 Enrollment ID: I20250109003854 |
Samuel M Edwards M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 W Plymouth Ave, Deland, FL 32720 Phone: 386-736-7244 Fax: 386-736-8538 | |
Mohan L Sharma Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 East Rich Ave, Deland, FL 32724 Phone: 386-736-1444 Fax: 386-736-9337 | |
Med Equity Partners, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2370 E International Speedway Blvd, Deland, FL 32724 Phone: 386-736-1105 Fax: 386-736-3860 | |
Dwic Of Tampa Bay, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-0574 Fax: 386-738-0573 | |
Emmanuel Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 N Stone St, Deland, FL 32720 Phone: 386-279-7726 Fax: 386-873-2927 | |
Northeast Florida Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 S Woodland Blvd Ste 4, Deland, FL 32720 Phone: 386-202-6025 Fax: 386-202-1755 | |
Physicians Medical And Injury Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 S Woodland Blvd Ste 200a, Deland, FL 32720 Phone: 386-279-0943 Fax: 386-873-4217 |