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

Genesis Family Practice LLC

Organization General Practice Physician · NPI 1447799242

Genesis Family Practice LLC is a General Practice Physician in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

800 S Nova Rd Ste I
Ormond Beach, FL 32174-9048
Phone: (386) 676-9300
Fax: (386) 676-9050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence OS8600 (FL)

Record details

NPI number1447799242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Chanmugam — Owner · (386) 218-2353
NPI enumeratedFebruary 14, 2017
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022
Mailing address1133 Saxon Blvd, Ste 200, Orange City, FL 32763-8425

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