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

Dr. Rommelle Von Such, MD

Individual provider General Practice Physician · NPI 1124039409

Dr. Rommelle Von Such, MD is a General Practice in Palm Coast, Florida. Graduated from Boston University School of Medicine in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
38
Trained at
Boston University School of Medicine
Licensed in
FL
In the registry since
2006
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

1 Florida Park Dr N Ste 109-110
Palm Coast, FL 32137-3852
Phone: (386) 445-3619
Fax: (386) 445-6925
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME0062070 (FL)

Record details

NPI number1124039409
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 11, 2006
Last updated in NPPESSeptember 21, 2011

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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