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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANTHONY ADEN OMBOGO, M.D.

Active

DR. ANTHONY ADEN OMBOGO, M.D. is a Family Medicine healthcare provider located in PORT ORANGE, Florida. NPI 1417266024 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORT ORANGE, FL

Registration Details

NPI Number
1417266024
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2010 (15.869642747673 yrs)
Last Updated
Jun 11, 2021
Licenses
TRN12964 (FL)
66728 (GA)
ME108702 (FL)

Practice Information

Address
3911 S NOVA RD
PORT ORANGE, FL, 321274910
Browse FL providers · Browse ZIP 32127
Phone
3867567748
Fax
3867615449
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in PORT ORANGE, FL

Name Credential NPI
DR. WESLEY JAY DRIGGERS MD, PHD 1891790309
DR. CHRISTIAN A KOVATS DO 1063400117
DR. CAROL M GAINES DO 1235117102
DR. JOHNNA MANTINEO D.O. 1952371312
MRS. JOANNE DEAUSEN SAXOUR MD 1811963341
DONALD WHITE M.D. 1265401095
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.