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

Genesis Family Practice, LLC

Organization Family Medicine Physician · NPI 1023369204

Genesis Family Practice, LLC is a Family Medicine Physician in Orange City, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2012
Specialties on file
2
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1133 Saxon Blvd
Orange City, FL 32763-8425
Phone: (386) 228-9700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 800 S Nova Rd Ste I, Ormond Beach, FL 32174-7362 — (386) 228-9700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS8600 (FL)
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1023369204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Chanmugam — Owner · (386) 878-4137
NPI enumeratedSeptember 27, 2012
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022
Mailing address1133 Saxon Blvd, Orange City, FL 32763-8425

Other providers in Orange City