Organization · NPI-2
Advanced Health Enterprise, INC
Nurse Practitioner, Family · Daytona Beach, FL
NPI number1861345290
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1861345290
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Health Enterprise, INC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2026
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
569 Health Blvd Ste ADaytona Beach, FL 32114-1499
Phone 386-846-6568 · Fax 386-515-8235
Mailing address
569 Health Blvd Ste ADaytona Beach, FL 32114-1499
Phone 386-846-6568 · Fax 386-515-8235
Authorized official
Samantha Snowden
Aprn
3868466568
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