Ormond Medical Center Inc | |
545 W Granada Blvd, Ormond Beach, FL 32174-5103 | |
(386) 672-6243 | |
(386) 677-7463 |
Full Name | Ormond Medical Center Inc |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 545 W Granada Blvd, Ormond Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538268677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH2950 (Florida) | Secondary |
111N00000X | Chiropractor | CH6392 (Florida) | Secondary |
207Q00000X | Family Medicine | OS9094 (Florida) | Primary |
Provider Name | Richard Branoff |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003921537 PECOS PAC ID: 7315072535 Enrollment ID: I20100312000821 |
Provider Name | Stephanie Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003130592 PECOS PAC ID: 8729118245 Enrollment ID: I20100610000198 |
Provider Name | Ramin D Bonnet |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730258146 PECOS PAC ID: 1951342799 Enrollment ID: I20100828000156 |
Provider Name | Michael Joseph Rodriguez |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548252075 PECOS PAC ID: 1850429663 Enrollment ID: I20100924000287 |
Provider Name | Christy Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518925973 PECOS PAC ID: 0749204527 Enrollment ID: I20120426000291 |
Provider Name | Dragi Bogdanovski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144462102 PECOS PAC ID: 9830343706 Enrollment ID: I20130130000044 |
Mailing Address | Practice Location Address |
---|---|
Ormond Medical Center Inc 545 West Granada Blvd, Ormond Beach, FL 32174 Ph: (386) 672-6243 | Ormond Medical Center Inc 545 W Granada Blvd, Ormond Beach, FL 32174-5103 Ph: (386) 672-6243 |