Eloisa G Dimayuga


Address: 800 Sterthaus Dr, Suite B, Ormond Beach, FL 32174-5132

Eloisa G Dimayuga (NPI# 1417923889, PAC ID# 4082631445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.

Physician Overview

Nation Provider ID (NPI) 1417923889
PAC ID by PECOS 4082631445
Professional Enrollment ID I20120329000352
Full Name Eloisa G Dimayuga
Address 800 Sterthaus Dr
Suite B
Ormond Beach
FL 32174-5132
Gender F
Graduation Year 1986
Primary Specialty INFECTIOUS DISEASE
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100017 HALIFAX HEALTH MEDICAL CENTER

Other Locations

Address Phone Organization
800 Sterthaus Dr, Suite B, Ormond Beach, FL 32174-5132

Organization Information

Office Location

Street Address 800 STERTHAUS DR
SUITE B
City ORMOND BEACH
State FL
Zip 32174-5132

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Competitor

Search similar physicians

City ORMOND BEACH
Zip Code 32174
Specialty INFECTIOUS DISEASE
City + Specialty ORMOND BEACH + INFECTIOUS DISEASE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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