Organization
ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT W. GILLESPY MD (PRESIDENT)
(386) 255-4596
Entity
Organization
Contact information
Practice address
1865 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 258-3561
Mailing address
1865 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 258-3561
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096100
—
FL
05
—
036096101
—
FL
05
—
036096102
—
FL
05
—
036096103
—
FL
05
—
036096104
—
FL
05
—
036096105
—
FL
05
—
104741300
—
FL
05
—
105512000
—
FL
05
—
105512600
—
FL
05
—
106515900
—
FL
Enumeration date
01/11/2006
Last updated
08/05/2025
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