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FAMILY HEALTH CENTER AT PORT ST JOHN LLC
NPI 1851575377
Family Medicine in Cocoa, FL

Active since December 19, 2007CLIA 10D1081504 · Accreditation
3740 CURTIS BLVD, SUITE 108, COCOA, FL 32927(321) 633-5500(321) 633-5566 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Health Center At Port St John Llc NPPES

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

FAMILY HEALTH CENTER AT PORT ST JOHN LLC (NPI 1851575377) is a healthcare organization registered as a family medicine in Cocoa, Florida and active in the NPI registry since December 2007. The organization holds an CLIA Accreditation certificate valid through May 13, 2028 and lists Janis G Black, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1851575377
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY HEALTH CENTER AT PORT ST JOHN LLC
Location Address3740 CURTIS BLVD, SUITE 108Cocoa, FL 32927-3962
Mailing Address3740 Curtis Blvd, Suite 108Cocoa, FL 32927-3962 · (321) 633-5500 · Fax (321) 633-5566
Phone(321) 633-5500
Fax(321) 633-5566
Organization SubpartNo
Authorized OfficialJanis G BlackPhysician/owner · (321) 633-5500
Enumeration DateDecember 19, 2007
Last NPPES UpdateDecember 3, 2013
✔ NPI 1851575377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS9694
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.
3740 CURTIS BLVD, Cocoa, FL 32927
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Other Identifiers 3

Medicare UPINI62653FL
Medicaid2753011400FL
Medicare PINU8317ZFL

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

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 Accreditation 10D1081504

Family Health Center At Port St John · Cocoa, FL
Active · expires May 13, 2028
CLIA Number10D1081504
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorJanis G. Black
Laboratory Phone(321) 633-5500
Laboratory LocationFamily Health Center At Port St John3740 Curtis Blvd Ste 108, Cocoa, FL 32927
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

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

PATRICIA BELL LMHC
Counselor (Mental Health)
3740 CURTIS BLVD, SUITE 102
COCOA, FL 32927
Brevard County (321) 632-9929
SHELLY ADAMSON COUNSELING LLC
Counselor (Mental Health)
3740 CURTIS BLVD, SUITE 102
COCOA, FL 32927
Brevard County (321) 632-9929
DR. JANIS G BLACK DO
Family Medicine
3740 CURTIS BLVD, SUITE 108
COCOA, FL 32927
Brevard County (321) 633-5500
SANDRA LEE ALLEN LMHC
Counselor (Mental Health)
3740 CURTIS BLVD, SUITE 102
COCOA, FL 32927
Brevard County (321) 632-9929
SHELLY ADAMSON, LMHC, INC.
Counselor (Mental Health)
3740 CURTIS BLVD, 102
COCOA, FL 32927
Brevard County (321) 632-9929
MS. DEANNA LYNN PICHLER PA-C
Physician Assistant
3740 CURTIS BLVD, SUITE 108
PORT ST JOHN, FL 32927
Brevard County (321) 633-5500

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 Family Health Center At Port St John LLC's NPI number?

The NPI number for Family Health Center At Port St John LLC is 1851575377. It was assigned to this organization in the NPPES registry on December 19, 2007.

Where is Family Health Center At Port St John LLC located?

Family Health Center At Port St John LLC is located at 3740 Curtis Blvd Suite 108, Cocoa, FL 32927. The listed phone number is (321) 633-5500.

What is Family Health Center At Port St John LLC's specialty?

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

Does Family Health Center At Port St John LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D1081504) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Health Center At Port St John LLC was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.