Active NPI
Louis O Orezzoli, MD
- Pediatrics Physician
- Daytona Beach, FL
National Provider Identifier
1710043559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME36802
- Practice address
- 515 Health Blvd
Daytona Beach, FL 32114-1493 - Phone
- (386) 255-7531
- Fax
- (386) 252-2470
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME36802 | FL | Primary |
Addresses
Primary practice location
515 Health Blvd
Daytona Beach, FL 32114-1493
Mailing address
515 Health Blvd
Daytona Beach, FL 32114-1493
Phone (386) 255-7531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME36802 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710043559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 HEALTH BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141493",
"telephone_number": "386-255-7531",
"fax_number": "386-252-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 HEALTH BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141493",
"telephone_number": "386-255-7531",
"fax_number": "386-252-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OREZZOLI",
"first_name": "LOUIS",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME36802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.