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EAST VOLUSIA FAMILY PRACTICE PA
NPI 1053384610
Family Medicine in Port Orange, FL

Active since February 13, 2006
3911 S NOVA RD, PORT ORANGE, FL 32127(386) 322-0811(386) 761-5449 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Volusia Family Practice Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST VOLUSIA FAMILY PRACTICE PA (NPI 1053384610) is a healthcare organization registered as a family medicine in Port Orange, Florida and active in the NPI registry since February 2006. The organization lists Lane E Jennings, President, as its authorized official.

NPPES Registry Identity

NPI1053384610
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST VOLUSIA FAMILY PRACTICE PA
Location Address3911 S NOVA RDPort Orange, FL 32127-4910
Mailing Address3911 S Nova RdPort Orange, FL 32127-4910 · (386) 322-0811 · Fax (386) 761-5449
Phone(386) 322-0811
Fax(386) 761-5449
Organization SubpartNo
Authorized OfficialLane E JenningsPresident · (386) 322-0811
Enumeration DateFebruary 13, 2006
Last NPPES UpdateJuly 9, 2008
✔ NPI 1053384610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3911 S NOVA RD, Port Orange, FL 32127
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Other Identifiers 2

OtherCH4732Medicare Railroad
Medicare ID-Type Unspecified45417

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY ADEN OMBOGO M.D.
Family Medicine
3911 S NOVA RD
PORT ORANGE, FL 32127
Volusia County (386) 756-7748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Volusia Family Practice PA's NPI number?

The NPI number for East Volusia Family Practice PA is 1053384610. It was assigned to this organization in the NPPES registry on February 13, 2006.

Where is East Volusia Family Practice PA located?

East Volusia Family Practice PA is located at 3911 S Nova Rd, Port Orange, FL 32127. The listed phone number is (386) 322-0811.

What is East Volusia Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for East Volusia Family Practice PA was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.