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Contact Information

ORMOND PEDIATRICS, P.A.
725 W. GRANADA BLVD. ST 1
ORMOND BEACH, FL32174
 Phone: 386-673-2770
 Fax: 386-673-2760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ORMOND PEDIATRICS PA · (Female)

NPI Number 1346428661
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2008
Last updated 11/16/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 007381100
Hospital affiliation(s) Not Available
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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