DUNLAWTON FAMILY MEDICINE PLC
NPI 1629061767
Clinic/Center - Primary Care in Port Orange, FL

Active since August 24, 2005CLIA 10D2131445 · Waiver
790 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127(386) 760-1877(386) 760-2791 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dunlawton Family Medicine Plc NPPES

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

DUNLAWTON FAMILY MEDICINE PLC (NPI 1629061767) is a healthcare organization registered as a primary care in Port Orange, Florida and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Mark David Kendrick, President, as its authorized official.

NPPES Registry Identity

NPI1629061767
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDUNLAWTON FAMILY MEDICINE PLC
Location Address790 DUNLAWTON AVE, SUITE EPort Orange, FL 32127-4222
Mailing Address790 Dunlawton Ave, Suite EPort Orange, FL 32127-4222 · (386) 760-1877 · Fax (386) 760-2791
Fax(386) 760-2791
Organization SubpartNo
Authorized OfficialMark David KendrickPresident · (386) 760-1877
Enumeration DateAugust 24, 2005
Last NPPES UpdateJune 20, 2012
NPI 1629061767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
790 DUNLAWTON AVE, Port Orange, FL 32127

Other Identifiers 1

Medicare PIN45360FL

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 10D2131445

Dunlawton Family Medicine, Plc · Port Orange, FL
Active · expires May 29, 2027
CLIA Number10D2131445
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorMark Kendrick
Laboratory Phone(386) 304-9556
Laboratory LocationDunlawton Family Medicine, Plc790 Dunlawton Avenue Ste D, Port Orange, FL 32127
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Hearing Instrument Specialist
790 DUNLAWTON AVE, SUITE B
PORT ORANGE, FL 32127
Family Medicine
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Family Medicine
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Hearing Aid Equipment
790 DUNLAWTON AVE, SUITE B
PORT ORANGE, FL 32127
Family Medicine
790 DUNLAWTON AVE, SUITE G
PORT ORANGE, FL 32127
Dentist
790 DUNLAWTON AVE, SUITE F
PORT ORANGE, FL 32127
Audiologist-Hearing Aid Fitter
790 DUNLAWTON AVE, STE A
PORT ORANGE, FL 32127
Hearing Aid Equipment
790 DUNLAWTON AVE, SUITE B
PORT ORANGE, FL 32127

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 Dunlawton Family Medicine Plc's NPI number?

The NPI number for Dunlawton Family Medicine Plc is 1629061767. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Dunlawton Family Medicine Plc located?

Dunlawton Family Medicine Plc is located at 790 Dunlawton Ave Suite E, Port Orange, FL 32127. The listed phone number is (386) 760-1877.

What is Dunlawton Family Medicine Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Dunlawton Family Medicine Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2131445) is associated with this NPI, valid through May 29, 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 Dunlawton Family Medicine Plc was last updated on June 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.