| Infectious Diseases Of Mid-florida, Pa | |
|
290 Clyde Morris Blvd Ste D2 Ormond Beach FL 32174-8204 | |
| (386) 265-1021 | |
| (386) 265-1033 |
| Full Name | Infectious Diseases Of Mid-florida, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 290 Clyde Morris Blvd Ste D2, Ormond Beach, Florida |
| Authorized Official Name and Position | Ukonu Okoro Ejie (PROVIDER) |
| Authorized Official Contact | 3862651021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Of Mid-florida, Pa Po Box 730606 Ormond Beach FL 32173-0606 Ph: (386) 265-1021 | Infectious Diseases Of Mid-florida, Pa 290 Clyde Morris Blvd Ste D2 Ormond Beach FL 32174-8204 Ph: (386) 265-1021 |
| NPI Number | 1396837308 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 10/31/2025 |
| Medicare PECOS PAC ID | 9032123526 |
|---|---|
| Medicare Enrollment ID | O20060206000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396837308 | NPI | - | NPPES |
| 266737100 | Medicaid | FL | |
| 78720 | Other | FL | BC OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME86706 (Florida) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | ME86706 (Florida) | Primary |
| Provider Name | Franklyn F Dontfraid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447243423 PECOS PAC ID: 7315974847 Enrollment ID: I20050727000136 |
| Provider Name | Ukonu O Ejie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790761500 PECOS PAC ID: 5395759880 Enrollment ID: I20060207000162 |
| Provider Name | Akshay Manohar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124314703 PECOS PAC ID: 9638452386 Enrollment ID: I20170203001620 |
| Provider Name | Nathaniel C Duke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538375456 PECOS PAC ID: 4284913021 Enrollment ID: I20170520000176 |
| Provider Name | Amber Dawnette Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962969147 PECOS PAC ID: 3779919428 Enrollment ID: I20200129000295 |
| Provider Name | Fernando M Ulloa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043459563 PECOS PAC ID: 6103350780 Enrollment ID: I20241115001196 |
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 | |
Partnering For Community Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Old Kings Rd Ste D, Ormond Beach, FL 32174 Phone: 386-944-9808 |