FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC – Internal Medicine Physician, NPI 1780100529
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC
907, Sterthaus Drive, Ormond Beach, Volusia County, Florida, 32174, United States
ORMOND BEACH, FL 321745133
Phone: (386) 671-4519
Fax: (386) 672-9904
Type: Mailing
770 W GRANADA BLVD STE 101
ORMOND BEACH, FL 321745179
Phone: (386) 231-4519
Fax: (386) 368-8927
Type: Mailing
Florida Hospital Memorial Medical Center, 301, Memorial Medical Parkway, Daytona Beach, Volusia County, Florida, 32117, United States
DAYTONA BEACH, FL 321175167
Phone: (386) 231-6000
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: 2018-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (647 days ago).
Enrollment records
1
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20180831000335 | O | Clinic/Group Practice | FL | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 32174)
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