Any Ester Quezada Domazet, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

025158 Issued in PR

Practice address

775 W Granada Blvd Ste 102
Ormond Beach, FL 32174-5109

Phone

(386) 672-4615

Fax

(386) 672-4624

NPI assigned

Jan 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1730830217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "727-322-3439",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 W GRANADA BLVD STE 102",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745109",
            "telephone_number": "386-672-4615",
            "fax_number": "386-672-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA DOMAZET",
        "first_name": "ANY",
        "middle_name": "ESTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "025158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "Q231-005-86-763-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc
• Publix Super Markets, Inc
• Pulmonary Performance Education and Testing LLC
• QSH/Mid Florida, LLC
• Stephen James Quaning, MD
• Jaime E Quinteros, MD
• Nathan Rachman, MD
• Kristen Rada, D.O.
• Camila Florencia Raffaellino, RBT
• Louis J Raimondo, MD

• General Practice Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.