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TUI FAMILY MEDICINE PL
NPI 1386940013
Clinic/Center in Port Orange, FL

Active since January 27, 2011CLIA 10D2020717 · Waiver
4554 S CLYDE MORRIS BLVD, SUITE 2, PORT ORANGE, FL 32129(386) 304-2990 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tui Family Medicine Pl NPPES

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

TUI FAMILY MEDICINE PL (NPI 1386940013) is a healthcare organization registered as a clinic/center in Port Orange, Florida and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Anunporn Srisawat, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1386940013
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTUI FAMILY MEDICINE PL
Location Address4554 S CLYDE MORRIS BLVD, SUITE 2Port Orange, FL 32129-5403
Mailing AddressPo Box 290035Port Orange, FL 32129-0035
Phone(386) 304-2990
Organization SubpartNo
Authorized OfficialAnunporn SrisawatManaging Member · (386) 304-2990
Enumeration DateJanuary 27, 2011
Last NPPES UpdateOctober 12, 2011
✔ NPI 1386940013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · ME 95967
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4554 S CLYDE MORRIS BLVD, Port Orange, FL 32129
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2020717

Tui Family Medicine Pl · Port Orange, FL
Active · expires Feb 24, 2027
CLIA Number10D2020717
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorAnunporn Srisawat
Laboratory Phone(386) 304-2990
Laboratory LocationTui Family Medicine Pl4554 Clyde Morris Blvd Ste 2, Port Orange, FL 32129
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ANUNPORN SRISAWAT M.D.
Family Medicine
4554 S CLYDE MORRIS BLVD, SUITE 2
PORT ORANGE, FL 32129
Volusia County (386) 304-2990

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 Tui Family Medicine Pl's NPI number?

The NPI number for Tui Family Medicine Pl is 1386940013. It was assigned to this organization in the NPPES registry on January 27, 2011.

Where is Tui Family Medicine Pl located?

Tui Family Medicine Pl is located at 4554 S Clyde Morris Blvd Suite 2, Port Orange, FL 32129. The listed phone number is (386) 304-2990.

What is Tui Family Medicine Pl's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Tui Family Medicine Pl hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2020717) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tui Family Medicine Pl was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.