Healthcare Provider Details

I. General information

NPI: 1851199764
Provider Name (Legal Business Name): WHISPERING MEADOWS RANCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 JOHN ANDERSON HWY
FLAGLER BEACH FL
32136-5515
US

IV. Provider business mailing address

5011 JOHN ANDERSON HWY
FLAGLER BEACH FL
32136-5515
US

V. Phone/Fax

Practice location:
  • Phone: 386-503-6312
  • Fax:
Mailing address:
  • Phone: 386-439-3195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MARY HELENE DAVIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 386-439-3195