OrganizationActive
Kemshol Medical Center PA
NPI 1023213469 · Clinic/Center · Daytona Beach, FL
Provider details
- NPI number
- 1023213469
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olubukunola Thomas, President(407) 756-4541
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
984 Orange Ave
Daytona Beach, FL 32114-4667
Phone: (386) 226-3008
Fax: (386) 226-3044
Street-level locationGet directions
Mailing address
984 Orange Ave
Daytona Beach, FL 32114-4667
Registry dates
- Enumerated
- 2007-06-16
- Last updated
- 2007-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.