Organization Active NPI

MD Transformations LLC

  • Internal Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1003251083
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME42497 Issued in FL
Legal business name
MD TRANSFORMATIONS LLC
Practice address
50 Cypress Point Pkwy Ste B1
Palm Coast, FL 32164-2501
Phone
(386) 283-5668
Fax
(386) 283-5670
NPI assigned
May 6, 2013
Last updated
May 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert A Rombola, MD
Title
Owner
Phone
(386) 283-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME42497 FL Primary

Addresses

Primary practice location

50 Cypress Point Pkwy Ste B1
Palm Coast, FL 32164-2501

Mailing address

50 Cypress Point Pkwy Ste B1
Palm Coast, FL 32164-2501
Phone (386) 283-5668

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1003251083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY STE B1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642501",
            "telephone_number": "386-283-5668",
            "fax_number": "386-283-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY STE B1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642501",
            "telephone_number": "386-283-5668",
            "fax_number": "386-283-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD TRANSFORMATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "ROMBOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-283-5668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME42497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.