OrganizationActive
Century Clinical Family Medicine, LLC.
NPI 1710211289 · Primary Care Clinic/Center · Daytona Beach, FL
Provider details
- NPI number
- 1710211289
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Gaskin, Cfo(386) 274-4750
- License
- ARNP9211084 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1410 Lpga Blvd
Ste. 140
Daytona Beach, FL 32117-5115
Phone: (386) 274-4750
Street-level locationGet directions
Mailing address
1410 Lpga Blvd
Daytona Beach, FL 32117-5115
Registry dates
- Enumerated
- 2009-09-30
- Last updated
- 2009-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.