Primary Care of Port Orange
Primary Care of Port Orange is a Health Maintenance Organization in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
Practice location Address checks out
4770 S Ridgewood AvePort Orange, FL 32127-4544
Phone: (386) 761-4670
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 9308547 (FL) |
|---|
Record details
| NPI number | 1053861054 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Gunter — Office Manager · (386) 761-4670 |
| NPI enumerated | October 13, 2016 |
| Last updated in NPPES | October 13, 2016 |
| Mailing address | 4770 S Ridgewood Ave, Port Orange, FL 32127-4544 |