ORMOND BEACH MEDICAL LLC

ORMOND BEACH, FL
NPI1578226114
Entity TypeOrganization
Authorized ContactSANDEEP GAZAHI
Managing Member
646-209-5519
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2021-10-20
Last Update Date2021-10-20
Business Address
ORMOND BEACH MEDICAL LLC
725 W GRANADA BLVD STE 1
ORMOND BEACH, FL 32174-9406
Phone number: 646-209-5519
Mailing Address
ORMOND BEACH MEDICAL LLC
1415 OCEAN SHORE BLVD APT 309
ORMOND BEACH, FL 32176-3642
Phone number: 646-209-5519