OrganizationActive
Shores Medical Center
NPI 1215334370 · Family Nurse Practitioner · Daytona Beach Shores, FL
Provider details
- NPI number
- 1215334370
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gerald Woodard, Owner(386) 767-9544
- License
- ARNP 3088302 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3512 S Atlantic Blvd
Daytona Beach Shores, FL 32118
Phone: (386) 767-9544
Street-level locationGet directions
Mailing address
3512 S Atlantic Ave
Daytona Beach Shores, FL 32118-7639
Registry dates
- Enumerated
- 2014-12-04
- Last updated
- 2014-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.