FLORIDA MENTOR – Developmentally Disabled Services Day Training Agency, NPI 1134285141

FLORIDA MENTOR is a healthcare provider. based in Daytona beach, Florida. specializing in Developmentally Disabled Services Day Training Agency. The organization holds a License No. 03125760 (FL). The NPI Number for FLORIDA MENTOR is 1134285141

Main info

Organization
Name
FLORIDA MENTOR
NPI
1134285141
Phone
(386) 274-4172
Address
1725 5TH STREET
Authorized Official
MR. EDWARD DEMETRICE MONAGAN ADMINISTRATOR
Enumeration Date
28 December 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for FLORIDA MENTOR

  • 1725, 5th Street, Daytona Beach, Volusia County, Florida, 32117, United States

    DAYTONA BEACH, FL 321175107

    Phone: (386) 274-4172

    Fax: (386) 274-5568

    Type: Location

  • 1725 FIFTH ST

    DAYTONA BEACH, FL 321175107

    Phone: (386) 274-4172

    Fax: (386) 274-5568

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32117)

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Reviews

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Frequently asked questions

Can I cross-check FLORIDA MENTOR using NPI 1134285141?
NPI 1134285141 belongs to FLORIDA MENTOR; compare other details if you need extra assurance.
Is FLORIDA MENTOR still an active registrant?
FLORIDA MENTOR carries an active NPI according to the public dataset.
What area of care is associated with FLORIDA MENTOR?
FLORIDA MENTOR's record emphasizes Developmentally Disabled Services Day Training Agency. Clinical services aligned with this taxonomy classification.
Where in Florida is FLORIDA MENTOR registered?
Use Daytona Beach, Florida as the headline location for FLORIDA MENTOR here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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