MEDICARE: DR. GIRISH VASANT GHADE M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME 107681	FL
2	207R00000X	Internal Medicine Physician	01060057A	IN

General Provider Information

NPI Number	:	1619084761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIRISH VASANT GHADE M.D

Provider Business Mailing Address
First Line	:	PO BOX 730096
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32173-0096
Country	:	US
Telephone Number	:	386-506-8910
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 DEERFIELD PRESERVE BLVD
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-5966
Country	:	US
Telephone Number	:	386-871-0829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	05/04/2026

Similar Medicare Providers

1932104288 — KELLY T CLOUSE MD
Practice Location Address:

100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL
32086-5966

Practice Phone: 904-823-2896
Practice Fax:

1922041003 — GAINESVILLE VAMC
Practice Location Address:

100 DEERFIELD PRESERVE BLVD
SAINT AUGUSTINE, FL
32086-5966

Practice Phone: 866-793-4591
Practice Fax:

1205026986 — BRITTANY COLE OT
Practice Location Address:

100 DEERFIELD PRESERVE BLVD
SAINT AUGUSTINE, FL
32086-5966

Practice Phone: 904-829-0814
Practice Fax:

1801103379 — DR. JENNIFER C DUNCAN PHARM.D., BCACP
Practice Location Address:

100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL
32086-5966

Practice Phone: 904-829-0814
Practice Fax:

1477967545 — MR. JORGE L CORDOVA - RUIZ M.D
Practice Location Address:

100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL
32086-5966

Practice Phone: 904-829-0814
Practice Fax:

1699221788 — SARA ELIZABETH LOMONTE LCSW
Practice Location Address:

100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL
32086-5966

Practice Phone: 904-823-2925
Practice Fax: 904-792-5655

Directions to “ DR. GIRISH VASANT GHADE M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.