Active NPI 1235498460 Individual Practitioner Male Practitioner

Dr. Christopher John Matthews , MD

Orthopaedic Surgery • Daytona Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Matthews, MD is a certified Orthopaedic Surgery practicing in Daytona Beach, FL. With approximately 14 years of clinical experience since graduating from University Of Florida College Of Medicine in 2012, Dr. Matthews delivers high-quality medical care to the local community at 1075 MASON AVE.

Dr. Matthews maintains professional affiliations with Ability Health Services, Inc, Ability Health Services And Rehabilitation Lp, Orthopaedic Clinic Of Daytona Beach Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1075 Mason Ave

Daytona Beach, FL 32117

Telephone 3862554596

Fax 3862583561

Associated Practice Facility / Clinic

🏢 Orthopaedic Clinic Of Daytona Beach Pa Facility NPI 1558340240

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Daytona Beach, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -12.1 yrs vs City Avg

City Avg: 26.1 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

21 Specialists

Practicing in Daytona Beach, FL (1597 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Matthews (14 Years) 14 Yrs

Daytona Beach Specialty Average (26.1 Years) 26.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,395	372	$24.13	$6.95
99213 Established patient office or other outpatient visit, typically 15 minutes	625	442	$273.97	$89.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	299	$389.11	$126.31
73030 X-ray of shoulder, minimum of 2 views	203	151	$100.48	$32.78
73140 X-ray of finger, minimum of 2 views	199	165	$109.56	$36.57
20600 Aspiration and/or injection of fluid from small joint	193	139	$175.51	$50.13
20550 Injection into tendon or ligament	168	134	$174.72	$53.83
73110 X-ray of wrist, minimum of 3 views	144	118	$118.11	$39.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$338.44	$110.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$507.24	$166.41
73130 X-ray of hand, minimum of 3 views	138	103	$106.32	$35.75
20610 Aspiration and/or injection of fluid from large joint	115	95	$220.52	$68.60
64721 Release and/or relocation of hand nerve	71	63	$1364.31	$400.05
20605 Aspiration and/or injection of medium joint or joint capsule	69	51	$173.85	$53.67
26055 Incision of tendon covering	65	50	$1769.13	$244.67
73080 X-ray of elbow, minimum of 3 views	46	37	$94.52	$31.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$167.28	$55.20
26480 Transplant of tendon of hand, without graft	27	26	$2420.31	$393.39
25447 Removal of bone joints between wrist and fingers	27	26	$2581.15	$820.36
25210 Removal of wrist bone	23	22	$1528.33	$243.57
64718 Release and/or relocation of elbow nerve	20	19	$1860.41	$557.17
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$1852.97	$301.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$410.92	$119.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,298	328	$24.13	$6.55
99213 Established patient office or other outpatient visit, typically 15 minutes	524	372	$273.97	$89.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	248	$389.11	$127.02
73030 X-ray of shoulder, minimum of 2 views	189	164	$103.14	$34.86
73140 X-ray of finger, minimum of 2 views	176	136	$114.58	$38.73
20550 Injection into tendon or ligament	176	130	$181.33	$53.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$338.44	$111.15
73110 X-ray of wrist, minimum of 3 views	136	104	$118.11	$39.50
20600 Aspiration and/or injection of fluid from small joint	134	92	$181.92	$51.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$507.24	$164.72
20610 Aspiration and/or injection of fluid from large joint	124	101	$214.03	$68.67
73130 X-ray of hand, minimum of 3 views	96	78	$110.75	$37.46
26055 Incision of tendon covering	68	48	$1769.13	$246.47
64721 Release and/or relocation of hand nerve	51	43	$1364.31	$400.05
20605 Aspiration and/or injection of medium joint or joint capsule	47	39	$174.81	$54.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	44	$167.28	$56.10
73080 X-ray of elbow, minimum of 3 views	42	39	$94.52	$30.42
26480 Transplant of tendon of hand, without graft	28	28	$2420.31	$407.00
25447 Removal of bone joints between wrist and fingers	27	27	$2581.15	$856.38
25210 Removal of wrist bone	23	23	$1528.33	$255.02
64718 Release and/or relocation of elbow nerve	15	12	$1860.41	$620.99
72040 X-ray of upper spine, 2-3 views	13	13	$115.48	$38.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,044	295	$24.13	$6.65
99213 Established patient office or other outpatient visit, typically 15 minutes	481	342	$273.97	$90.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	235	$389.11	$127.36
73140 X-ray of finger, minimum of 2 views	203	164	$118.14	$39.85
73030 X-ray of shoulder, minimum of 2 views	169	134	$104.05	$34.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$338.44	$112.21
20550 Injection into tendon or ligament	162	136	$185.41	$56.78
73110 X-ray of wrist, minimum of 3 views	160	104	$122.54	$41.76
20600 Aspiration and/or injection of fluid from small joint	113	90	$180.70	$51.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$507.24	$167.08
20610 Aspiration and/or injection of fluid from large joint	95	80	$213.14	$68.40
73130 X-ray of hand, minimum of 3 views	91	79	$113.33	$38.92
26055 Incision of tendon covering	57	42	$1769.13	$238.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	53	$167.28	$56.43
64721 Release and/or relocation of hand nerve	38	33	$1364.31	$386.59
73080 X-ray of elbow, minimum of 3 views	33	29	$100.25	$34.07
20605 Aspiration and/or injection of medium joint or joint capsule	27	23	$182.58	$56.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$603.39	$199.20
73502 X-ray of hip, 2-3 views	21	19	$136.12	$36.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$410.92	$133.73
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	15	13	$69.36	$21.06
29075 Application of elbow to finger cast	15	14	$297.35	$92.19
26480 Transplant of tendon of hand, without graft	14	14	$2420.31	$404.64
25447 Removal of bone joints between wrist and fingers	14	14	$2581.15	$859.54
72040 X-ray of upper spine, 2-3 views	13	13	$115.48	$39.04
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$4556.17	$1509.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,002	261	$21.00	$6.92
99213 Established patient office or other outpatient visit, typically 15 minutes	448	312	$180.64	$90.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	225	$254.04	$129.70
73110 X-ray of wrist, minimum of 3 views	178	110	$107.95	$39.79
73140 X-ray of finger, minimum of 2 views	162	128	$88.07	$39.08
73030 X-ray of shoulder, minimum of 2 views	160	123	$112.75	$34.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$233.66	$112.81
20550 Injection into tendon or ligament	119	92	$128.83	$53.73
20600 Aspiration and/or injection of fluid from small joint	119	90	$123.71	$51.98
73130 X-ray of hand, minimum of 3 views	109	84	$107.72	$37.39
20610 Aspiration and/or injection of fluid from large joint	100	81	$154.43	$67.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$337.04	$169.08
26055 Incision of tendon covering	56	38	$1570.00	$240.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	52	$110.81	$55.76
20605 Aspiration and/or injection of medium joint or joint capsule	51	39	$132.51	$56.65
73080 X-ray of elbow, minimum of 3 views	45	34	$115.51	$30.69
64721 Release and/or relocation of hand nerve	40	33	$2319.00	$380.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$290.00	$201.13
73502 X-ray of hip, 2-3 views	22	14	$85.00	$34.48
29075 Application of elbow to finger cast	20	20	$182.00	$87.46
73140 X-ray of finger, minimum of 2 views	19	17	$82.00	$7.00
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	19	19	$45.00	$20.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$325.06	$181.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$271.00	$136.97
26480 Transplant of tendon of hand, without graft	14	13	$1519.00	$432.20
25447 Removal of bone joints between wrist and fingers	12	12	$1713.00	$860.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,005	238	$21.00	$6.98
99213 Established patient office or other outpatient visit, typically 15 minutes	374	254	$170.39	$74.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	214	$238.63	$107.57
73030 X-ray of shoulder, minimum of 2 views	188	142	$115.85	$33.17
73110 X-ray of wrist, minimum of 3 views	165	105	$106.91	$37.04
73140 X-ray of finger, minimum of 2 views	156	115	$87.26	$36.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$240.34	$106.66
73130 X-ray of hand, minimum of 3 views	115	89	$113.75	$38.65
20600 Aspiration and/or injection of fluid from small joint	113	79	$127.35	$48.55
20610 Aspiration and/or injection of fluid from large joint	106	86	$196.53	$68.72
20550 Injection into tendon or ligament	100	67	$142.48	$50.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$335.00	$163.74
73080 X-ray of elbow, minimum of 3 views	58	43	$114.95	$29.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	48	$103.44	$45.31
64721 Release and/or relocation of hand nerve	41	36	$2319.00	$367.21
20605 Aspiration and/or injection of medium joint or joint capsule	36	27	$142.22	$53.46
26055 Incision of tendon covering	30	24	$1570.00	$244.94
73502 X-ray of hip, 2-3 views	23	15	$85.00	$32.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$271.00	$136.02
29075 Application of elbow to finger cast	20	18	$182.00	$86.08
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	18	15	$45.00	$20.10
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	18	16	$21.00	$12.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$290.00	$195.14
29125 Application of nonmoveable forearm to hand splint	18	16	$135.00	$61.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$315.31	$146.65
73140 X-ray of finger, minimum of 2 views	15	15	$82.00	$6.88
26480 Transplant of tendon of hand, without graft	14	13	$1519.00	$369.99
25447 Removal of bone joints between wrist and fingers	14	13	$1713.00	$822.84
64718 Release and/or relocation of elbow nerve	13	12	$2850.00	$591.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	847	207	$21.00	$6.75
99213 Established patient office or other outpatient visit, typically 15 minutes	367	267	$147.20	$72.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	184	$216.86	$106.31
73030 X-ray of shoulder, minimum of 2 views	203	155	$110.00	$28.46
73110 X-ray of wrist, minimum of 3 views	171	100	$105.00	$34.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$219.00	$107.67
73140 X-ray of finger, minimum of 2 views	130	87	$82.00	$32.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$335.00	$163.84
20610 Aspiration and/or injection of fluid from large joint	109	91	$178.79	$61.41
20550 Injection into tendon or ligament	89	55	$143.16	$51.51
20600 Aspiration and/or injection of fluid from small joint	85	66	$121.65	$48.30
73000 X-ray of collar bone	70	66	$92.00	$27.58
73130 X-ray of hand, minimum of 3 views	69	53	$103.00	$32.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	65	$87.18	$44.35
73120 X-ray of hand, 2 views	50	34	$83.64	$28.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	12	$27.00	$1.59
73080 X-ray of elbow, minimum of 3 views	43	27	$113.00	$28.50
73502 X-ray of hip, 2-3 views	36	22	$80.56	$36.48
20605 Aspiration and/or injection of medium joint or joint capsule	29	24	$128.00	$45.16
64721 Release and/or relocation of hand nerve	27	24	$2319.00	$366.88
73070 X-ray of elbow, 2 views	24	16	$88.00	$25.45
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	22	16	$31.36	$19.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$290.00	$196.55
29075 Application of elbow to finger cast	21	16	$182.00	$86.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$271.00	$137.78
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$204.13	$95.72
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$4436.00	$1281.07
73100 X-ray of wrist, 2 views	14	11	$88.00	$30.95
73020 X-ray of shoulder, 1 view	14	13	$83.00	$23.19
73564 X-ray of knee, 4 or more views	13	11	$148.00	$40.17
29125 Application of nonmoveable forearm to hand splint	12	12	$135.00	$63.66
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	12	12	$21.00	$12.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$295.00	$144.34
23430 Anchoring of biceps tendon	11	11	$2199.00	$384.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	206	62	$21.00	$6.59
99213 Established patient office or other outpatient visit, typically 15 minutes	82	63	$147.00	$72.14
73140 X-ray of finger, minimum of 2 views	59	41	$82.00	$29.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	50	$216.00	$106.51
20610 Aspiration and/or injection of fluid from large joint	48	39	$175.00	$58.84
73110 X-ray of wrist, minimum of 3 views	46	29	$105.00	$30.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$219.00	$105.98
73030 X-ray of shoulder, minimum of 2 views	40	30	$110.00	$27.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$335.00	$159.45
20600 Aspiration and/or injection of fluid from small joint	28	23	$117.86	$42.56
73130 X-ray of hand, minimum of 3 views	23	15	$103.00	$30.93
73000 X-ray of collar bone	18	17	$92.00	$25.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$271.00	$138.11
20550 Injection into tendon or ligament	15	12	$146.13	$49.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$290.00	$204.31

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME130656

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Hand Surgery

NUCC Taxonomy Code: 207XS0106X

State License FL ME130656

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

023537000 (FL)

Hospital & Practice Group Affiliations

Orthopaedic Clinic Of Daytona Beach Pa

1865 Lpga Blvd, Daytona Beach, FL 321177108

Phone: 3862554596

Ability Health Services And Rehabilitation Lp

1200 Lexington Green Ln, Sanford, FL 327711013

Ability Health Services, Inc

1200 Lexington Green Ln, Sanford, FL 327711013

Secondary Practice Locations

1165 Dunlawton Ave Ste 102

Port Orange, FL 321272924

Phone: 3862554596

17 Old Kings Rd N Ste K

Palm Coast, FL 321378283

Phone: 3862554596

1890 Lpga Blvd Ste 240

Daytona Beach, FL 321177131

Phone: 3862554596

1175 Dunlawton Ave Ste 1

Port Orange, FL 321274741

Phone: 3862554596

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Brent Wilkins , PA-C

Physician Assistant

NPI 1003449117

Physician Assistant (Certified)

Dr. Todd Mccall , MD

Orthopaedic Surgery

NPI 1033172200

Doctor of Medicine (M.D.)

Dr. Joseph Locker , MD

Orthopaedic Surgery

NPI 1063497428

Doctor of Medicine (M.D.)

Dr. Mark Gillespy , MD

Orthopaedic Surgery

NPI 1073592606

Doctor of Medicine (M.D.)

Dr. Brian Hatten , MD

Orthopaedic Surgery

NPI 1073592788

Doctor of Medicine (M.D.)

Dr. Mikenzi Pettenger , PT, DPT

Physical Therapist

NPI 1093520850

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location July 23, 2018

Registered at 1075 MASON AVE, DAYTONA BEACH, FL 32117 (Tel: 3862554596)

📍

Updated Business Mailing Address July 23, 2018

Registered at 1075 MASON AVE, DAYTONA BEACH, FL 321174611 (Tel: 3862554596)

👤

Provider Name / Credentials Updated July 23, 2018

Recorded as CHRISTOPHER MATTHEWS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2018

Orthopaedic Surgery (License #ME130656 in FL)

✅

NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2017

Registered at 8501 HARCOURT RD, INDIANAPOLIS, IN 462602046 (Tel: (317) 875-9105)

📍

Updated Business Mailing Address June 30, 2017

Registered at 8501 HARCOURT RD, INDIANAPOLIS, IN 462602046 (Tel: (317) 875-9105)

👤

Provider Name / Credentials Updated June 30, 2017

Recorded as CHRISTOPHER MATTHEWS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Orthopaedic Surgery (License #01078497A in IN)

✅

NPI Profile Active May 08, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2012

Registered at 3450 HULL RD, GAINESVILLE, FL 326074144 (Tel: 3522737394)

📍

Updated Business Mailing Address May 08, 2012

Registered at 3450 HULL RD, GAINESVILLE, FL 326074144 (Tel: 3522737394)

👤

Provider Name / Credentials Updated May 08, 2012

Recorded as CHRISTOPHER MATTHEWS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2012

Orthopaedic Surgery (License #TRN17245 in FL)

🟢

Initial NPI Registration & Enumeration May 08, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235498460

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 08, 2012

Last Update: August 09, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1075 Mason Ave

Daytona Beach, FL 321174611

Phone: 3862554596

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.