OrganizationActive
Ormond Beach Medical LLC
NPI 1578226114 · Pediatrics Physician · Ormond Beach, FL
Ormond Beach Medical LLC is a Pediatrics Physician organization in Ormond Beach, FL (NPI 1578226114).
Provider details
- NPI number
- 1578226114
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandeep Gazahi, Managing Member(646) 209-5519
Practice location
725 W Granada Blvd Ste 1
Ormond Beach, FL 32174-9406
Phone: (646) 209-5519
Street-level locationGet directions
Mailing address
1415 Ocean Shore Blvd Apt 309
Ormond Beach, FL 32176-3642
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-20
- Certified
- 2021-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.