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

Port Orange Endoscopy & Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1619979580

Port Orange Endoscopy & Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Port Orange, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2005
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

1185 Dunlawton Ave Ste 100
Port Orange, FL 32127-2906
Phone: (386) 777-7151
Fax: (386) 231-6545
Show map & directions

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

Additional practice locations (1)

  • 550 Memorial Cir Ste G, Ormond Beach, FL 32174-5055 — (386) 271-7105

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 1227 (FL)

Record details

NPI number1619979580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mairilise Pothin Owen — Cfo · (407) 357-2427
Other names Adventhealth Surgery Center Port Orange
NPI enumeratedAugust 11, 2005
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1185 Dunlawton Ave Ste 100, Port Orange, FL 32127-2906

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