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Contact Information

DMITRY A DRAPACH, DO
901 STERTHAUS DR
ORMOND BEACH, FL32174-5133
 Phone: 904-442-1414
 Fax: 386-231-5962
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DMITRY A DRAPACH · (Male)

NPI # 1669487542
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/30/2006
Last updated 04/30/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 044942
  • FL License # OS18875
  • VA License # 0102203390
  • VA Medicaid 1669487542
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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