| A-one Family Practice | |
|
325 Clyde Morris Blvd Ste 340 Ormond Beach FL 32174-3199 | |
| (386) 615-8971 | |
| (386) 677-9685 |
| Full Name | A-one Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 325 Clyde Morris Blvd Ste 340, Ormond Beach, Florida |
| Authorized Official Name and Position | Kashyap Patel (PRESIDENT) |
| Authorized Official Contact | 3866158971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A-one Family Practice 325 Clyde Morris Blvd Ste 340 Ormond Beach FL 32174-3199 Ph: (386) 615-8971 | A-one Family Practice 325 Clyde Morris Blvd Ste 340 Ormond Beach FL 32174-3199 Ph: (386) 615-8971 |
| NPI Number | 1114037462 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 01/14/2014 |
| Medicare PECOS PAC ID | 9830152974 |
|---|---|
| Medicare Enrollment ID | O20041109000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114037462 | NPI | - | NPPES |
| 270963500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME90826 (Florida) | Primary |
| Provider Name | Kashyap V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982630042 PECOS PAC ID: 6305809450 Enrollment ID: I20041110000754 |
| Provider Name | Savitha B Kasturi |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1912162934 PECOS PAC ID: 7517034366 Enrollment ID: I20080922000193 |
| Provider Name | Pamela Liu Sauls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184041741 PECOS PAC ID: 5294044483 Enrollment ID: I20151105001885 |
| Provider Name | Peri Sert |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699072256 PECOS PAC ID: 6901105683 Enrollment ID: I20160502000850 |
| Provider Name | Goma Mayberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588101174 PECOS PAC ID: 7517242878 Enrollment ID: I20170329000286 |
| Provider Name | Katrina Herman Akin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336674068 PECOS PAC ID: 8325313596 Enrollment ID: I20171013002946 |
| Provider Name | Debra Elizabeth Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851838593 PECOS PAC ID: 5698051704 Enrollment ID: I20171220003257 |
| Provider Name | Dianne Marie David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285149229 PECOS PAC ID: 5698039923 Enrollment ID: I20180514000779 |
| Provider Name | Dmitriy Shishkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891230371 PECOS PAC ID: 1557626991 Enrollment ID: I20180605002880 |
| Provider Name | Svetlana Victorovna Ekubova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972070803 PECOS PAC ID: 4183969157 Enrollment ID: I20181219001151 |
| Provider Name | Leomaris A Trujillo Santiago |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811139520 PECOS PAC ID: 6204161367 Enrollment ID: I20190711000905 |
| Provider Name | Derick J Velazquez-lucena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689208274 PECOS PAC ID: 3274962220 Enrollment ID: I20200326003032 |
| Provider Name | Amanda Lee Christlieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336789957 PECOS PAC ID: 1052733128 Enrollment ID: I20200617003354 |
| Provider Name | Ruth Wanjeri Kangethe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093475659 PECOS PAC ID: 0648662601 Enrollment ID: I20220125000659 |
| Provider Name | Italia Cegla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861139990 PECOS PAC ID: 8224418850 Enrollment ID: I20220629001374 |
| Provider Name | Heather Rebro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558061168 PECOS PAC ID: 7719351451 Enrollment ID: I20230321002098 |
| Provider Name | Sorangel Ortiz Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912604695 PECOS PAC ID: 2163897562 Enrollment ID: I20230418000733 |
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 |