Organization
MEMORIAL HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY DOMAYER (CFO)
(386) 231-3909
Entity
Organization
Contact information
Practice address
875 STERTHAUS AVE, ORMOND BEACH, FL 32174-5131
(386) 671-4500
(386) 672-9904
Mailing address
PO BOX 730729, ORMOND BEACH, FL 32173-0729
(386) 671-4500
(386) 672-9904
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
08/25/2006
Last updated
03/03/2021
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