VOLUSIA-FLAGLER VASCULAR CENTER LLC – Medical Specialty Clinic/Center, NPI 1700119724
Medical Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VOLUSIA-FLAGLER VASCULAR CENTER LLC
1873 N CLYDE MORRIS BLVD STE 101B
DAYTONA BEACH, FL 321175638
Phone: (386) 274-4244
Fax: (386) 274-4245
Type: Location
1180 N Williamson Blvd Ste 100
Daytona Beach, FL 321148176
Phone: (386) 274-4244
Fax: (386) 274-4245
Type: Location
Palm Harbor Boulevard, Cove Springs, Palm Harbor, Pinellas County, Florida, 34683, United States
PALM HARBOR, FL 346831930
Phone: (727) 474-0090
Fax: (727) 474-0055
Type: Mailing
100, North Williamson Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321148176
Phone: (386) 274-4244
Fax: (386) 274-4245
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20091104000577 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 32117)
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