Healthcare Provider Details

I. General information

NPI: 1144269036
Provider Name (Legal Business Name): NEIGHBOR TO FAMILY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S PALMETTO AVE BOX R SUITE 200
DAYTONA BEACH FL
32114-4385
US

IV. Provider business mailing address

220 S RIDGEWOOD AVE SUITE 260
DAYTONA BEACH FL
32114-4393
US

V. Phone/Fax

Practice location:
  • Phone: 386-248-0712
  • Fax: 386-248-0916
Mailing address:
  • Phone: 386-523-1440
  • Fax: 386-523-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. GORDON JOHNSON
Title or Position: PRESIDENT/CEO
Credential: LLD,MED
Phone: 386-523-1440