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

Anunporn Srisawat, MD

Individual provider Family Medicine Physician · NPI 1295925030

Anunporn Srisawat, MD is a Family Practice in Port Orange, Florida. Graduated from Loma Linda University School of Medicine in 2004, 22 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
22
Trained at
Loma Linda University School of Medicine
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4554 S Clyde Morris Blvd Ste 2
Port Orange, FL 32129-5403
Phone: (386) 304-2990
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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 ME 95967 (FL)

Record details

NPI number1295925030
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 27, 2007
Last updated in NPPESOctober 12, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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