| Primary Care Center Of Port Orange | |
|
4770 S Ridgewood Ave Suite 1 Port Orange FL 32127-4544 | |
| (386) 761-0050 | |
| (386) 761-1167 |
| Full Name | Primary Care Center Of Port Orange |
|---|---|
| Speciality | Family Medicine |
| Location | 4770 S Ridgewood Ave, Port Orange, Florida |
| Authorized Official Name and Position | Michelle L Jackson (OFFICE MANAGER) |
| Authorized Official Contact | 3867610050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Center Of Port Orange 4770 S Ridgewood Ave Suite 1 Port Orange FL 32127-4544 Ph: (386) 761-0050 | Primary Care Center Of Port Orange 4770 S Ridgewood Ave Suite 1 Port Orange FL 32127-4544 Ph: (386) 761-0050 |
| NPI Number | 1295910834 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295910834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0028054 (Florida) | Primary |
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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 |