ABA Family Medicine, LLC
Organization Active NPI Family Medicine Physician · Ormond Beach, FL
NPI 1760679088 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1760679088
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME79483 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Diego T Torres II, M.D.
- Title
- Managing Member
- Phone
- (386) 676-2367
Practitioners 1
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/11761/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | ME79483 | FL | Yes |
Addresses
Primary practice location
325 Clyde Morris Blvd
Suite 320
Ormond Beach, FL 32174-8178
Mailing address
325 Clyde Morris Blvd
Suite 320
Ormond Beach, FL 32174-8178
Phone (386) 676-2367
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA2451 | Other | FL | MEDICARE RAILROAD |
| K4519 | Other | FL | MEDICARE GROUP NUMBER |
| P00039042 | Other | FL | MEDICARE RAILROAD INDIVID |
Other providers in Ormond Beach, FL
- 1724 Valencia, LLC
- 30 Forest CT, LLC
- A Healthy Place PA
- A1 Imaging Centers LLC
- A1 Imaging of Ormond Beach LLC
- Ibrahim Ahmed Abdalla Wafik
- Alaa Abdelwahab
- Ability Health Services and Rehabilitation LP
- Ability Health Services, Inc
- Ability Rehabilitation
All providers in Ormond Beach, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.