OrganizationActive
Advanced Health Care Physical Medicine,llc
NPI 1063787331 · General Practice Physician · Ormond Beach, FL
Provider details
- NPI number
- 1063787331
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hui Lin O'Connor, Office Manager(386) 673-2000
- License
- ME60233 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 W Granada Blvd
Suite 101
Ormond Beach, FL 32174-8114
Phone: (386) 673-2000
Fax: (386) 673-2002
Street-level locationGet directions
Mailing address
801 W Granada Blvd
Ormond Beach, FL 32174-8114
Registry dates
- Enumerated
- 2012-03-20
- Last updated
- 2013-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.