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

Infectious Diseases of Mid-Florida, PA

Organization Internal Medicine Physician · NPI 1396837308

Infectious Diseases of Mid-Florida, PA is an Internal Medicine Physician in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

290 Clyde Morris Blvd Ste D2
Ormond Beach, FL 32174-8204
Phone: (386) 265-1021
Fax: (386) 265-1033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence ME86706 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME86706 (FL)

Record details

NPI number1396837308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ukonu Ejie — Provider · (386) 265-1021
NPI enumeratedSeptember 28, 2006
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing addressPo Box 730606, Ormond Beach, FL 32173-0606

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