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

Family Health Center at Port St John LLC

Organization Family Medicine Physician · NPI 1851575377

Family Health Center at Port St John LLC is a Family Medicine Physician in Cocoa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3740 Curtis Blvd Ste 108
Cocoa, FL 32927-3962
Phone: (321) 633-5500
Fax: (321) 633-5566
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS9694 (FL)

Record details

NPI number1851575377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janis Black — Physician/Owner · (321) 633-5500
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 3, 2013
Mailing address3740 Curtis Blvd, Suite 108, Cocoa, FL 32927-3962

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