Healthcare Provider Details

I. General information

NPI: 1891662953
Provider Name (Legal Business Name): ACCORD SPECIALTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2752 ENTERPRISE RD STE B
ORANGE CITY FL
32763-8328
US

IV. Provider business mailing address

2752 ENTERPRISE RD
ORANGE CITY FL
32763-8316
US

V. Phone/Fax

Practice location:
  • Phone: 386-456-3000
  • Fax: 386-385-7871
Mailing address:
  • Phone: 386-456-3000
  • Fax: 386-385-7871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DHARABEN PATEL
Title or Position: PRESEIDENT
Credential:
Phone: 386-456-3000