| Jena Medical | |
|
1180 W Granada Blvd Suite B Ormond Beach FL 32174-8165 | |
| (386) 676-2606 | |
| (386) 672-5341 |
| Full Name | Jena Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 1180 W Granada Blvd, Ormond Beach, Florida |
| Authorized Official Name and Position | Dolores Vandermaelen (ADMINISTRATOR) |
| Authorized Official Contact | 3866772606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jena Medical 1180 W Granada Blvd Suite B Ormond Beach FL 32174-8165 Ph: (386) 676-2606 | Jena Medical 1180 W Granada Blvd Suite B Ormond Beach FL 32174-8165 Ph: (386) 676-2606 |
| NPI Number | 1417144270 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 03/02/2012 |
| Medicare PECOS PAC ID | 1153211974 |
|---|---|
| Medicare Enrollment ID | O20040317000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417144270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David K Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558437707 PECOS PAC ID: 7416847231 Enrollment ID: I20101222000411 |
| Provider Name | James W Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770644957 PECOS PAC ID: 4981923414 Enrollment ID: I20150505002914 |
| Provider Name | Yanelis Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063766228 PECOS PAC ID: 2466773551 Enrollment ID: I20150601002346 |
| Provider Name | Cortney Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386088458 PECOS PAC ID: 7315239399 Enrollment ID: I20160712002080 |
| Provider Name | Jennifer Lyn Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073974192 PECOS PAC ID: 2668766288 Enrollment ID: I20161028000889 |
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 | |
Mobile Health Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Pine Creek Trl, Ormond Beach, FL 32174 Phone: 386-566-1733 Fax: 386-615-6628 |