| Erica L. O'donnell Dopa | |
|
1400 Hand Ave Suite K Ormond Beach FL 32174-8194 | |
| (386) 673-0517 | |
| (386) 671-6458 |
| Full Name | Erica L. O'donnell Dopa |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 1400 Hand Ave, Ormond Beach, Florida |
| Authorized Official Name and Position | Erica Lynne O'donnell (PRESIDENT) |
| Authorized Official Contact | 3866730517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erica L. O'donnell Dopa 1400 Hand Ave Suite K Ormond Beach FL 32174-8194 Ph: (386) 673-0517 | Erica L. O'donnell Dopa 1400 Hand Ave Suite K Ormond Beach FL 32174-8194 Ph: (386) 673-0517 |
| NPI Number | 1144333105 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144333105 | NPI | - | NPPES |
| 01768 | Other | FL | BLUE CROSS |
| 7512263 | Other | FL | AETNA |
| 80184473 | Other | FL | TRICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | OS7905 (Florida) | Primary |
Ormond Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 279 S Yonge St, Ormond Beach, FL 32174 Phone: 386-955-9704 Fax: 386-872-5004 | |
James E Mcdonnell Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174 Phone: 386-677-6727 Fax: 386-677-3211 | |
Mark W. Lastarza, M.d., Pa. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Clyde Morris Blvd, Suite 290, Ormond Beach, FL 32174 Phone: 386-672-3219 Fax: 386-672-3160 | |
Skeuthaus Inpatient Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Sterthaus Ave, Ormond Beach, FL 32174 Phone: 386-676-6000 | |
Advanced Health Care Physical Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Granada Blvd, Suite 101, Ormond Beach, FL 32174 Phone: 386-673-2000 Fax: 386-673-2002 | |
Roya Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 N Beach St, Suite A, Ormond Beach, FL 32174 Phone: 386-673-8333 Fax: 386-673-5236 | |
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