OrganizationActive
Northeast Florida Health Services, Inc.
NPI 1144995317 · Federally Qualified Health Center (FQHC) · Deland, FL
Provider details
- NPI number
- 1144995317
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Northeast Florida Health Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Laurie Asbury, Ceo(386) 202-6025
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1205 S Woodland Blvd Ste 4
Deland, FL 32720-7464
Phone: (386) 202-6025
Fax: (386) 202-1755
Street-level locationGet directions
Mailing address
1205 S Woodland Blvd Ste 3
Deland, FL 32720-7464
Other names (DBA / former)
- Doing business as
- Family Health Source
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.