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BLACKSHEEP MEDICAL
NPI 1770913360
Clinic/Center - Health Service in Ormond Beach, FL

Active since November 18, 2013CLIA 10D2065501 · Waiver
1425 HAND AVE, SUITE L, ORMOND BEACH, FL 32174(386) 256-3977(386) 872-5004 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blacksheep Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKSHEEP MEDICAL (NPI 1770913360) is a healthcare organization registered as a health service in Ormond Beach, Florida and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Daniel A Seedor, Mgmr, as its authorized official.

NPPES Registry Identity

NPI1770913360
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBLACKSHEEP MEDICAL
Location Address1425 HAND AVE, SUITE LOrmond Beach, FL 32174-1135
Mailing Address1425 Hand Ave, Suite LOrmond Beach, FL 32174-1135 · (386) 256-3977 · Fax (386) 872-5004
Phone(386) 256-3977
Fax(386) 872-5004
Organization SubpartNo
Authorized OfficialDaniel A SeedorMgmr · (386) 256-3977
Enumeration DateNovember 18, 2013
✔ NPI 1770913360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1425 HAND AVE, Ormond Beach, FL 32174
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2065501

Black Sheep Medical · Ormond Beach, FL
Active · expires Sep 9, 2027
CLIA Number10D2065501
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorJohn R. Chewning
Laboratory Phone(386) 256-3977
Laboratory LocationBlack Sheep Medical1425 Hand Ave Ste L, Ormond Beach, FL 32174
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA RYANN HUDSON DPT
Physical Therapist
1425 HAND AVE, SUITE H
ORMOND BEACH, FL 32174
Flagler County (386) 673-3535
JENNIFER LYNN YOUNG DPT
Physical Therapist
1425 HAND AVE, SUITE H
ORMOND BEACH, FL 32174
Flagler County (386) 673-3535
VOLUSIA INTERNAL MEDICINE SPECIALISTS PA
Internal Medicine
1425 HAND AVE, SUITE F
ORMOND BEACH, FL 32174
Flagler County (386) 672-5466
JAY A KEESLING O.D.
Optometrist
1425 HAND AVE, SUITE A
ORMOND BEACH, FL 32174
Flagler County (386) 673-2020
RICHARD A. JABLONSKI, DO PA
Ophthalmology
1425 HAND AVE, SUITE A
ORMOND BEACH, FL 32174
Flagler County (386) 673-3345
DR. JACOB COREY BARR DPT, MTC
Physical Therapist
1425 HAND AVE, SUITE H
ORMOND BEACH, FL 32174
Flagler County (386) 673-3535
NANNINE KNOERZER DAHLEN P.T.
Physical Therapist
1425 HAND AVE
ORMOND BEACH, FL 32174
Flagler County (386) 299-3192
BRITTANY FORSTER DPT
Physical Therapist
1425 HAND AVE, SUITE H
ORMOND BEACH, FL 32174
Flagler County (386) 673-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blacksheep Medical's NPI number?

The NPI number for Blacksheep Medical is 1770913360. It was assigned to this organization in the NPPES registry on November 18, 2013.

Where is Blacksheep Medical located?

Blacksheep Medical is located at 1425 Hand Ave Suite L, Ormond Beach, FL 32174. The listed phone number is (386) 256-3977.

What is Blacksheep Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Blacksheep Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2065501) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blacksheep Medical was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.