| East Volusia Family Practice Pa | |
|
3911 S Nova Rd Port Orange FL 32127-4910 | |
| (386) 322-0811 | |
| (386) 761-5449 |
| Full Name | East Volusia Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3911 S Nova Rd, Port Orange, Florida |
| Authorized Official Name and Position | Lane E Jennings (PRESIDENT) |
| Authorized Official Contact | 3863220811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Volusia Family Practice Pa 3911 S Nova Rd Port Orange FL 32127-4910 Ph: (386) 322-0811 | East Volusia Family Practice Pa 3911 S Nova Rd Port Orange FL 32127-4910 Ph: (386) 322-0811 |
| NPI Number | 1053384610 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053384610 | NPI | - | NPPES |
| CH4732 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Daytona Plastic Surgery, P.l. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4606 S Clyde Morris Blvd, Suite 1 L, Port Orange, FL 32129 Phone: 386-756-9009 Fax: 386-756-3006 | |
Adventhealth Total Health Management /adventhealth Primary Care Plus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5821 S. Williamson Blvd, Suite 205, Port Orange, FL 32128 Phone: 407-200-2300 | |
Cass's Mobile Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3956 Sunset Cove Dr, Port Orange, FL 32129 Phone: 386-871-3855 | |
Kirsten Kim Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Dunlawton Ave Ste 311, Port Orange, FL 32127 Phone: 386-310-4807 Fax: 386-310-7473 | |
Conviva Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129 Phone: 305-500-2114 Fax: 305-370-6024 | |
Elizabeth Daquila Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 851 Dunlawton Ave Ste 102, Port Orange, FL 32127 Phone: 386-402-7827 Fax: 386-410-5457 |