# DELAND FAMILY MEDICINE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DeLand Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700997871
- **Authorized official:** DR. MELANIE R VANDEMARK MD (OWNER)
- **Authorized official phone:** (386) 740-1701

## Contact information

- **Practice address:** 1450 S WOODLAND BLVD, SUITE 300C, DELAND, FL 32720-7767
- **Practice address phone:** (386) 740-1701
- **Practice address fax:** (386) 740-1798
- **Mailing address:** PO BOX 741240, ORANGE CITY, FL 32774-1240
- **Mailing address phone:** (386) 774-5211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME912900 | FL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 05/21/2008