NPI
1001 Old Tomoka LLC
Phone (386) 453-1519 · Fax (888) 562-7611 · NPI 1942630462
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2013-11-19
- Last updated
- 2013-11-19
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Specialties
Licenses
- License FL
- AL12175
Location
- Practice location
- 1001 Old Tomoka Rd
- City
- Ormond Beach FL
- Postal code
- 32174-5979
- Phone
- (386) 453-1519
- Fax
- (888) 562-7611
Organization contact
- Name
- Ofer Sharon
- Title
- Manager
- Phone
- (386) 453-1519
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Assisted Living Facility providers in Ormond Beach, FL. 23 with this primary taxonomy in the public file.
Other NPIs in Ormond Beach, FL. 1,759 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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