ABA Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME79483 Issued in FL

Legal business name

ABA FAMILY MEDICINE, LLC

Practice address

325 Clyde Morris Blvd
Suite 320
Ormond Beach, FL 32174-8178

Phone

(386) 676-2367

Fax

(386) 615-6402

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diego T Torres II, M.D.

Title

Managing Member

Phone

(386) 676-2367

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11761/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Joan Sanfilippo, PA

  • Physician Assistant
  • Minocqua, WI
  • NPI 1922035898
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1760679088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 320",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-676-2367",
            "fax_number": "386-615-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 320",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-676-2367",
            "fax_number": "386-615-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "386-676-2367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A1 Imaging Centers LLC (Horizon Ormond Beach)
• A1 Imaging of Ormond Beach LLC (Horizon Ormond Beach)
• Ibrahim Ahmed Abdalla Wafik, M.D.
• Alaa Abdelwahab
• Ability Health Services and Rehabilitation LP
• Ability Health Services, Inc
• Ability Rehabilitation

• Family Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.