Ormond Internal Medicine LLC
NPI #1023209095 in Ormond Bch, Florida
Provider Information
- NPI Number
- 1023209095
- Entity Type
- Organization
- Organization Name
- Ormond Internal Medicine LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 6, 2007
- Last Updated
- Jul 25, 2024
Practice Location
- Address
- 279 S. YONGE ST.
- City
- Ormond Bch
- State
- Florida
- ZIP Code
- 32174
- Phone
- (386) 673-2133
Authorized Official
- Name
- PATRICIA GAIL VANDIEPEN, DO
- Title
- OWNER
- Phone
- (386) 673-2133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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