Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ormond Beach Medical LLC

Organization Pediatrics Physician · NPI 1578226114

Ormond Beach Medical LLC provides Pediatrics Physician services in Ormond Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

725 W Granada Blvd Ste 1
Ormond Beach, FL 32174-9406
Phone: (646) 209-5519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1578226114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandeep Gazahi — Managing Member · (646) 209-5519
NPI enumeratedOctober 20, 2021
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021
Mailing address1415 Ocean Shore Blvd Apt 309, Ormond Beach, FL 32176-3642

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