SHORESIDE MEDICAL CENTER LLC – General Practice Physician, NPI 1518371996

SHORESIDE MEDICAL CENTER LLC is a healthcare provider. based in New smyrna beach, Florida. specializing in General Practice Physician. The organization holds a License No. OS8699 (FL). The NPI Number for SHORESIDE MEDICAL CENTER LLC is 1518371996

Main info

Organization
Name
SHORESIDE MEDICAL CENTER LLC
NPI
1518371996
Phone
(386) 957-3800
Address
419 EAST THIRD AVE
Authorized Official
MS. TRACI LW POSTELL CEO
Enumeration Date
13 June 2014
Last Update Date
13 June 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for SHORESIDE MEDICAL CENTER LLC

  • 419 EAST THIRD AVE

    NEW SMYRNA BEACH, FL 32169

    Phone: (386) 957-3800

    Fax: (386) 426-5939

    Type: Location

  • 449 ROCKEFELLER DR

    NEW SMYRNA, FL 321688937

    Phone: (386) 957-3800

    Fax: (386) 426-5939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 32169)

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Frequently asked questions

What number should I use to identify SHORESIDE MEDICAL CENTER LLC for billing?
Administrative and clinical systems typically use NPI 1518371996 for SHORESIDE MEDICAL CENTER LLC.
Is SHORESIDE MEDICAL CENTER LLC's NPI status active today?
Active status means SHORESIDE MEDICAL CENTER LLC's NPI record is not deactivated in the public file.
How should patients interpret SHORESIDE MEDICAL CENTER LLC's specialty?
The extract shows General Practice Physician for SHORESIDE MEDICAL CENTER LLC. Clinical services aligned with this taxonomy classification.
What city is tied to SHORESIDE MEDICAL CENTER LLC?
The directory associates SHORESIDE MEDICAL CENTER LLC with New Smyrna Beach, Florida. Check all listed addresses for suites or satellite offices.
Can I export SHORESIDE MEDICAL CENTER LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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