Children’s hospital · FL
Family Health Source Pediatric Clinic
Filed as Northeast Florida Health Services Inc.
Taking partNoTermination date filed1 October 2021Last certified3 February 2021
- 0Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 April 2018In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
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Cite this page
Velarion Records, “Family Health Source Pediatric Clinic”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 2026-09-09. https://velarionrecords.com/340b/CH042377D. Accessed 10 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 April 2018
- Termination date
- 1 October 2021
- Termination reason
- Business decision by the Covered Entity
- Certification date
- 3 February 2021
- Record last edited
- 1 October 2021
Identifiers
- 340B ID
- CH042377D
- Entity type as filed
- CH
- Site ID
- BPS-H80-019555
- Grant number
- H80CS02520
- NPI
- 1447501291 (FL)
800 West Plymouth Ave, Deland FL 32720
Associated locations
| Family Health Source Pediatric Clinic | 800 West Plymouth Ave | Deland FL 32720 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 9 September 2026. This record has been read here since 6 September 2026.