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

Blue Waves Primary Care LLC

Organization Family Medicine Physician · NPI 1447125265

Blue Waves Primary Care LLC is a Family Medicine Physician in Ormond Beach, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

106 N Old Kings Rd Ste B
Ormond Beach, FL 32174-5177
Phone: (386) 944-9808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1447125265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Howitt — Managing Director · (386) 944-9808
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address106 N Old Kings Rd Ste B, Ormond Beach, FL 32174-5177

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