# FLORIDA CARE MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDA CARE MEDICAL CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861306110
- **Legal business name:** FLORIDA CARE MEDICAL CENTER INC
- **Authorized official:** PEDRO ENRIQUE LASTRES HERNANDEZ (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (786) 558-5772

## Contact information

- **Practice address:** 955 S WOODLAND BLVD, DELAND, FL 32720-7321
- **Practice address phone:** (407) 842-8283
- **Mailing address:** 121 S ORANGE AVE STE 940, ORLANDO, FL 32801-3234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2026
- **Last updated:** 10/01/2026