BLACKSHEEP MEDICAL – NPI #1770913360
Clinic/Center

BLACKSHEEP MEDICAL is an AHC clinic located in ORMOND BEACH, FL. NPPES has assigned the NPI number 1770913360 to BLACKSHEEP MEDICAL on November 18, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACKSHEEP MEDICAL below.

NPI Profile for
BLACKSHEEP MEDICAL

NPI Number
1770913360
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLACKSHEEP MEDICAL
Primary location
1425 HAND AVE
SUITE L
ORMOND BEACH, FL 32174-1135
Phone: (386) 256-3977 Fax: (386) 872-5004
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL SEEDOR
MGMR
Phone: (386) 256-3977
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.