The Jesus Clinic Inc

Specialty details in registry · Daytona Beach, FL

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At a glance

1630 Mason Ave Ste A, Daytona Beach, FL 32117-4503

NPPES record updated Mar 17, 2026. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1630 Mason Ave Ste A
Daytona Beach, FL 32117-4503
Professional details: NPI, taxonomy & registry record
NPI1588512511
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
Mar 17, 2026
Record updated
Mar 17, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1630 Mason Ave Ste A
Daytona Beach, FL 32117-4503
Phone
(386) 253-6959
Fax
(386) 253-6957
Mailing address
1630 MASON AVE STE A

DAYTONA BEACH, FL 321174503
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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