Organization Active NPI

Ano & Ano MD PA

  • Family Medicine Physician
  • South Daytona, FL
National Provider Identifier
1083707079
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0020477 Issued in FL
Legal business name
ANO & ANO MD PA
Practice address
2089 S Ridgewood Ave
South Daytona, FL 32119-2240
Phone
(386) 761-5682
Fax
(386) 760-4142
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Fermin Ano, MD
Title
President
Phone
(386) 761-5682

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME0020477 FL Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME0029894 FL

Addresses

Primary practice location

2089 S Ridgewood Ave
South Daytona, FL 32119-2240

Mailing address

2089 S Ridgewood Ave
South Daytona, FL 32119-2240
Phone (386) 761-5682

National Provider Directory

National Provider Directory

Locations

2089 S Ridgewood Ave
South Daytona, FL 32119
Phone (386) 767-7533

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1083707079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192240",
            "telephone_number": "386-761-5682",
            "fax_number": "386-760-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192240",
            "telephone_number": "386-761-5682",
            "fax_number": "386-760-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANO & ANO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "ANO",
        "authorized_official_first_name": "FERMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-761-5682",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0020477",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0029894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.