OrganizationActive
Blacksheep Medical
NPI 1770913360 · Health Service Clinic/Center · Ormond Beach, FL
Provider details
- NPI number
- 1770913360
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Seedor, Mgmr(386) 256-3977
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1425 Hand Ave
Suite L
Ormond Beach, FL 32174-1135
Phone: (386) 256-3977
Fax: (386) 872-5004
Street-level locationGet directions
Mailing address
1425 Hand Ave
Ormond Beach, FL 32174-1135
Registry dates
- Enumerated
- 2013-11-18
- Last updated
- 2013-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.