| Ormond Family Medical Center Pllc | |
|
545 W Granada Blvd Ormond Beach FL 32174-5103 | |
| (386) 672-6243 | |
| (386) 677-7463 |
| Full Name | Ormond Family Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 545 W Granada Blvd, Ormond Beach, Florida |
| Authorized Official Name and Position | Stephanie Sanchez (OWNER) |
| Authorized Official Contact | 4074153871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ormond Family Medical Center Pllc 545 W Granada Blvd Ormond Beach FL 32174-5103 Ph: (386) 672-6243 | Ormond Family Medical Center Pllc 545 W Granada Blvd Ormond Beach FL 32174-5103 Ph: (386) 672-6243 |
| NPI Number | 1265192926 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 10/01/2024 |
| Medicare PECOS PAC ID | 8820482029 |
|---|---|
| Medicare Enrollment ID | O20220304001128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265192926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Shrimani Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316956741 PECOS PAC ID: 4688673031 Enrollment ID: I20061212000346 |
| Provider Name | Stephanie Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003130592 PECOS PAC ID: 8729118245 Enrollment ID: I20100610000198 |
| Provider Name | Sandy Lon Ratner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245685312 PECOS PAC ID: 3476837790 Enrollment ID: I20170306002685 |
| Provider Name | Jordan R Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669965000 PECOS PAC ID: 1557607280 Enrollment ID: I20190116002550 |
| Provider Name | Gregory Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043826688 PECOS PAC ID: 4880098821 Enrollment ID: I20210812001584 |
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 |