| Ormond Medical Center Inc | |
|
545 W Granada Blvd, Ormond Beach, FL 32174-5103 | |
| (386) 672-6243 | |
| (386) 677-7463 |
| Full Name | Ormond Medical Center Inc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 545 W Granada Blvd, Ormond Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538268677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH2950 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH6392 (Florida) | Secondary |
| 207Q00000X | Family Medicine | OS9094 (Florida) | Primary |
| Provider Name | Richard Branoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003921537 PECOS PAC ID: 7315072535 Enrollment ID: I20100312000821 |
| Provider Name | Stephanie Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003130592 PECOS PAC ID: 8729118245 Enrollment ID: I20100610000198 |
| Provider Name | Ramin D Bonnet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730258146 PECOS PAC ID: 1951342799 Enrollment ID: I20100828000156 |
| Provider Name | Michael Joseph Rodriguez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548252075 PECOS PAC ID: 1850429663 Enrollment ID: I20100924000287 |
| Provider Name | Christy Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518925973 PECOS PAC ID: 0749204527 Enrollment ID: I20120426000291 |
| Provider Name | Dragi Bogdanovski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144462102 PECOS PAC ID: 9830343706 Enrollment ID: I20130130000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Ormond Medical Center Inc 545 West Granada Blvd, Ormond Beach, FL 32174 Ph: (386) 672-6243 | Ormond Medical Center Inc 545 W Granada Blvd, Ormond Beach, FL 32174-5103 Ph: (386) 672-6243 |