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Organization
MEDICAL CENTER OF DELTONA, INC.
Active
Organization
MEDICAL CENTER OF DELTONA, INC.
Active
Parent organization
HALIFAX HOSPITAL MEDICAL CENTER
Other names
Halifax Health UF Health - Medical Center of Deltona
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALIFAX HOSPITAL MEDICAL CENTER
Authorized official
ERIC M PEBURN (CFO)
(386) 425-4568
Entity
Organization
Contact information
Practice address
3300 HALIFAX CROSSINGS BLVD., DELTONA, FL 32725
(386) 254-4000
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2700
(386) 254-4000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-0330
MEDICARE/OSCAR CERTIFICATION
FL
05
—
105531100
—
FL
01
—
NJC
BLUE CROSS
FL
Enumeration date
09/11/2019
Last updated
06/22/2020
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