PORT ORANGE GYNECOLOGY LLC
NPI 1548600869
Obstetrics & Gynecology - Gynecology in Port Orange, FL

Active since July 01, 2013
900 N SWALLOWTAIL DR, ST 102B, PORT ORANGE, FL 32129(386) 492-6929(386) 492-6930 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Port Orange Gynecology Llc NPPES

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

PORT ORANGE GYNECOLOGY LLC (NPI 1548600869) is a healthcare organization registered as a gynecology in Port Orange, Florida and active in the NPI registry since July 2013. The organization lists Paula M. Foust, M.d. Owner, as its authorized official.

NPPES Registry Identity

NPI1548600869
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePORT ORANGE GYNECOLOGY LLC
Location Address900 N SWALLOWTAIL DR, ST 102BPort Orange, FL 32129-6102
Mailing AddressPo Box 12051Belfast, ME 04915-4011 · (386) 492-6929 · Fax (386) 492-6930
Fax(386) 492-6930
Organization SubpartNo
Authorized OfficialPaula M. FoustM.d. Owner · (386) 492-6929
Enumeration DateJuly 1, 2013
Last NPPES UpdateOctober 9, 2013
NPI 1548600869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in FL · ME97528
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

900 N SWALLOWTAIL DR, Port Orange, FL 32129

Other Names 1

Doing Business AsPort Orange Gynecology Llc

Other Identifiers 2

Medicaid277730400FL
Medicare PINAE756ZFL

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 8

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

Physical Therapist
900 N SWALLOWTAIL DR, SUITE 107
PORT ORANGE, FL 32129
Clinic/Center (Physical Therapy)
900 N SWALLOWTAIL DR, SUITE 107
PORT ORANGE, FL 32129
Pediatrics
900 N SWALLOWTAIL DR, SUITE # 106
PORT ORANGE, FL 32129
Dentist (General Practice)
900 N SWALLOWTAIL DR, SUITE 103
PORT ORANGE, FL 32129
Obstetrics & Gynecology
900 N SWALLOWTAIL DR, SUITE B102
PT ORANGE, FL 32129
Obstetrics & Gynecology
900 N SWALLOWTAIL DR, SUITE B-102
PORT ORANGE, FL 32129
Obstetrics & Gynecology
900 N SWALLOWTAIL DR, ST. 102B
PORT ORANGE, FL 32129
Chiropractor
900 N SWALLOWTAIL DR, SUITE 104D
PORT ORANGE, FL 32129

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 Port Orange Gynecology LLC's NPI number?

The NPI number for Port Orange Gynecology LLC is 1548600869. It was assigned to this organization in the NPPES registry on July 1, 2013.

Where is Port Orange Gynecology LLC located?

Port Orange Gynecology LLC is located at 900 N Swallowtail Dr St 102B, Port Orange, FL 32129. The listed phone number is (386) 492-6929.

What is Port Orange Gynecology LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Port Orange Gynecology LLC was last updated on October 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.