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

Emergency Medicine Professionals PA

Organization Emergency Medicine Physician · NPI 1790238459

Emergency Medicine Professionals PA is an Emergency Medicine Physician in Port Orange, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5811 S Williamson Blvd
Port Orange, FL 32128-6101
Phone: (386) 672-4161
Fax: (386) 274-7801
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1790238459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Duva — President · (386) 310-2160
NPI enumeratedJuly 29, 2016
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address222 S Peninsula Dr, Daytona Beach, FL 32118-4422

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