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

Dr. Anthony Aden Ombogo, MD

Individual provider Family Medicine Physician · NPI 1417266024

Dr. Anthony Aden Ombogo, MD is a Family Practice in Port Orange, Florida. Qualified in 2007, 19 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
19
Licensed in
FL, GA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3911 S Nova Rd
Port Orange, FL 32127-4910
Phone: (386) 756-7748
Fax: (386) 761-5449
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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 · Licence ME108702 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence TRN12964 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 66728 (GA)

Record details

NPI number1417266024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2010
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Orange