Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amsurg Port Orange Anesthesia, LLC

Organization Anesthesiology Physician · NPI 1043654270

Amsurg Port Orange Anesthesia, LLC is an Anesthesiology Physician in Port Orange, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3635 S Clyde Morris Blvd Ste 500
Port Orange, FL 32129-2300
Phone: (386) 760-8151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1043654270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Clendenin — President · (615) 665-1283
NPI enumeratedApril 18, 2013
Last updated in NPPESAugust 9, 2016
Mailing address1a Burton Hills Blvd, Attn: Provider Enrollment, Nashville, TN 37215-6187

Other providers in Port Orange