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Organization
ORMOND INTERNAL MEDICINE LLC
Active
Organization
ORMOND INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GAIL VANDIEPEN DO (OWNER)
(386) 673-2133
Entity
Organization
Contact information
Practice address
279 S. YONGE ST., ORMOND BCH, FL 32174
(386) 673-2133
(386) 673-2743
Mailing address
279 S. YONGE ST., ORMOND BCH, FL 32174
(386) 673-2133
(386) 673-2743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS7544
FL
Other
Enumeration date
08/06/2007
Last updated
07/25/2024
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