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

Port Orange Internists PA

Organization Family Medicine Physician · NPI 1689861205

Port Orange Internists PA is a Family Medicine Physician in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

3890 Turtle Creek Dr
Port Orange, FL 32127-9358
Phone: (386) 756-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME00050810 (FL)

Record details

NPI number1689861205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Souheil Moussly — Owner · (386) 756-4400
NPI enumeratedSeptember 27, 2007
Last updated in NPPESSeptember 27, 2007
Mailing address3890 Turtle Creek Dr, Port Orange, FL 32127-9358

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