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

Memorial Health Systems Inc

Organization Family Medicine Physician · NPI 1366559080

Memorial Health Systems Inc is a Family Medicine Physician in Ormond Beach, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

875 Sterthaus Ave
Ormond Beach, FL 32174-5131
Phone: (386) 671-4500
Fax: (386) 672-9904
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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
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1366559080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Domayer — Cfo · (386) 231-3909
NPI enumeratedAugust 25, 2006
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing addressPo Box 730729, Ormond Beach, FL 32173-0729

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