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 is a Pediatrics Physician 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
Show map & directions

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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