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Dr. Anthony Aden Ombogo, M.D.

Family Medicine Physician in Port Orange, FL · enumerated 2010 · practices at East Volusia Family Practice PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417266024

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Registry record

Entity type Individual (Type 1)
Name Dr. Anthony Aden Ombogo
Credential M.D.
Sex Male
Practice address 3911 S Nova Rd, Port Orange, FL, 32127
Phone (386) 756-7748
Fax (386) 761-5449
Enumeration date Sep 30, 2010
Last updated in NPPES Jun 11, 2021

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License TRN12964 (FL) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 66728 (GA) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME108702 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
003112054A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Anthony Ombogo?
The National Provider Identifier (NPI) for Anthony Ombogo is 1417266024, a Type 1 (individual) record in the CMS NPPES registry.
Where does Anthony Ombogo practice?
The practice location on file with NPPES is in Port Orange, FL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-11.