OrganizationActive
Gina Sevigny M D P a
NPI 1649314212 · MOHS-Micrographic Surgery Physician · Ormond Beach, FL
Provider details
- NPI number
- 1649314212
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandra Adams, Manager(386) 615-1771
- License
- ME69303 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
305 Clyde Morris Blvd
Suite 150
Ormond Beach, FL 32174-8181
Phone: (386) 615-1771
Approximate (ZIP-level) locationGet directions
Mailing address
305 Clyde Morris Blvd
Ormond Beach, FL 32174-8181
Other names (DBA / former)
- Doing business as
- Ormond Beach Dermatology
Additional practice locations (1)
- 900 N Swallow Tail DrPort Orange, FL 32129-6102Phone: (386) 615-1771
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.