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INDIAN RIVER MEDICAL CENTER LLC
NPI 1841010816
Family Medicine in Port Orange, FL

Active since October 15, 2024CLIA 10D2316732 · Waiver
3821 WOODBRIAR TRL STE 6, PORT ORANGE, FL 32129(386) 333-6158(386) 333-6158 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Indian River Medical Center Llc NPPES

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

INDIAN RIVER MEDICAL CENTER LLC (NPI 1841010816) is a healthcare organization registered as a family medicine in Port Orange, Florida and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through January 9, 2027, maintains a secondary practice location in Edgewater, and lists Christian Andrew Kovats, Owner, as its authorized official.

NPPES Registry Identity

NPI1841010816
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINDIAN RIVER MEDICAL CENTER LLC
Location Address3821 WOODBRIAR TRL STE 6Port Orange, FL 32129-9611
Mailing Address2568 S Ridgewood AveEdgewater, FL 32141-5980 · (208) 920-0932
Phone(386) 333-6158
Fax(386) 333-6158
Organization SubpartNo
Authorized OfficialChristian Andrew KovatsOwner · (208) 920-0932
Enumeration DateOctober 15, 2024
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1841010816 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.
3821 WOODBRIAR TRL STE 6, Port Orange, FL 32129
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Secondary Practice Location 1

Location 12568 S Ridgewood AveEdgewater, FL 32141-5980 · Phone (208) 920-0932

Other Identifiers 1

Other1376042134FL · Aprn

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2316732

Indian River Medical Center LLC · Port Orange, FL
Active · expires Jan 9, 2027
CLIA Number10D2316732
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorChristian A P Kovats
Laboratory Phone(386) 333-6158
Laboratory LocationIndian River Medical Center LLC3821 Woodbriar Trail Suitte 106, 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.

DR. CHRISTIAN A KOVATS DO
Family Medicine
3821 WOODBRIAR TRL STE 6
PORT ORANGE, FL 32129
Volusia County (845) 996-8177

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 Indian River Medical Center LLC's NPI number?

The NPI number for Indian River Medical Center LLC is 1841010816. It was assigned to this organization in the NPPES registry on October 15, 2024.

Where is Indian River Medical Center LLC located?

Indian River Medical Center LLC is located at 3821 Woodbriar Trl Ste 6, Port Orange, FL 32129. The listed phone number is (386) 333-6158.

What is Indian River Medical Center LLC's specialty?

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

Does Indian River Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2316732) is associated with this NPI, valid through January 9, 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 Indian River Medical Center LLC was last updated on March 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.