EAST VOLUSIA FAMILY PRACTICE PA – Family Medicine Physician, NPI 1053384610

EAST VOLUSIA FAMILY PRACTICE PA is a healthcare provider. based in Port orange, Florida. specializing in Family Medicine Physician. The NPI Number for EAST VOLUSIA FAMILY PRACTICE PA is 1053384610

Main info

Organization
Name
EAST VOLUSIA FAMILY PRACTICE PA
NPI
1053384610
Phone
(386) 322-0811
Address
3911 S NOVA RD
Authorized Official
DR. LANE E JENNINGS PRESIDENT M.D.
Enumeration Date
13 February 2006
Last Update Date
9 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for EAST VOLUSIA FAMILY PRACTICE PA

  • Nova Road, South Daytona, Volusia County, Florida, 32119, United States

    PORT ORANGE, FL 321274910

    Phone: (386) 322-0811

    Fax: (386) 761-5449

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32127)

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Reviews

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Frequently asked questions

Can I cross-check EAST VOLUSIA FAMILY PRACTICE PA using NPI 1053384610?
NPI 1053384610 belongs to EAST VOLUSIA FAMILY PRACTICE PA; compare other details if you need extra assurance.
Would EAST VOLUSIA FAMILY PRACTICE PA appear as active to a payer?
You can treat EAST VOLUSIA FAMILY PRACTICE PA as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for EAST VOLUSIA FAMILY PRACTICE PA?
At a glance, EAST VOLUSIA FAMILY PRACTICE PA is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is EAST VOLUSIA FAMILY PRACTICE PA registered?
Use Port Orange, Florida as the headline location for EAST VOLUSIA FAMILY PRACTICE PA here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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