Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Outreach Health Incorporated

Organization General Practice Physician · NPI 1528699352

Outreach Health Incorporated provides General Practice Physician services in Daytona Beach, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

240 N Frederick Ave
Daytona Beach, FL 32114-3400
Phone: (386) 255-5569
Fax: (386) 257-1245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1528699352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chester Wilson — Chief Executive Officer · (386) 675-0098
NPI enumeratedJanuary 30, 2020
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020
Mailing address240 N Frederick Ave, Daytona Beach, FL 32114-3400

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