Organization
MEMORIAL HEALTH SYSTEMS INC
Active
Other names
AdventHealth Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
CORY DOMAYER (CFO)
(386) 231-3906
Entity
Organization
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 205, DAYTONA BEACH, FL 32117-5169
(386) 231-3530
Mailing address
770 W GRANADA BLVD STE 203, ORMOND BEACH, FL 32174-5179
(863) 231-4252
(386) 676-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40181J
MEDICARE ID UNSPECIFIED
FL
Enumeration date
08/24/2006
Last updated
04/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us