METCARE OF ORMOND BEACH NPI 1265816219

NPI Information

  • NPI: 1265816219
  • Provider Name: METCARE OF ORMOND BEACH
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 420 S NOVA RD
    SUITE 4&5
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 615-8122

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NPI Details

METCARE OF ORMOND BEACH is a family medicine in Ormond Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. METCARE OF ORMOND BEACH NPI is 1265816219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

420 S NOVA RD
SUITE 4&5
ORMOND BEACH, FL
ZIP 32174-410
Phone: (386) 615-8122
Fax: (386) 615-8139

The provider's authorized official is Jessica Marie Bonetti .
The authorized official title is Associate Director and has the following contact phone number (305) 500-2000.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 8/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CX415BOTHERFLORIDAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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