Primary Care Center Of Port Orange

LBN: Primary Care Center Of Port Orange
Primary Care Center Of Port Orange is an health care organization with primary practice located at 4770 S Ridgewood Ave Suite 1, Port Orange FL 32127-4544. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Primary Care Center Of Port Orange can be contacted via phone (386) 761-0050, or through Jackson, Michelle L via phone (386) 761-0050.

Contact Information

Primary practice address
4770 S Ridgewood Ave Suite 1 Port Orange FL 32127-4544
Phone: (386) 761-0050
Fax: (386) 761-1167
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Michelle L
Phone: (386) 761-0050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0028054 Florida

Profile Details

NPI number 1295910834
LBN Legal business name Primary Care Center Of Port Orange
DBA Doing business as
Authorized official Jackson, Michelle L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Mar 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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