TUI FAMILY MEDICINE PL (NPI# 1386940013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386940013 |
| Entity Type | Organization |
| Organization Name | TUI FAMILY MEDICINE PL |
| Practice Address |
4554 S Clyde Morris Blvd Suite 2 Port Orange FL 32129-5403 |
| Mailing Address |
Po Box 290035 Port Orange FL 32129-0035 |
| Practice Telephone | 3863042990 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | ANUNPORN SRISAWAT (MANAGING MEMBER) |
| Authorized Official Telephone | 3863042990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ME 95967 | FL | Ambulatory Health Care Facilities |
| Street Address |
4554 S CLYDE MORRIS BLVD SUITE 2 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295925030 | Anunporn Srisawat | Family Medicine | 4554 S Clyde Morris Blvd, Suite 2, Port Orange, FL 32129-5403 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801360870 | Clinical Acumen LLC. | Clinic/Center | 3780 S Nova Rd Ste 6, Port Orange, FL 32129-4203 | 2019-01-14 |
| 1265780720 | Port Orange Acupuncture LLC | Clinic/Center | 100 Cessna Blvd, Suite B, Port Orange, FL 32128-6969 | 2012-08-15 |
| 1073883971 | Daytona Plastic Surgery, P.l. | Clinic/Center | 4606 S Clyde Morris Blvd, Suite 1 L, Port Orange, FL 32129-6404 | 2012-01-09 |
| 1548408842 | John D Lockenour D C Inc | Clinic/Center | 5889 S Williamson Blvd, Suite 203, Port Orange, FL 32128-7134 | 2009-01-26 |
| 1982898219 | Qing Ge | Clinic/Center | 1515 Herbert St, Suite 208, Port Orange, FL 32129-6104 | 2007-08-29 |
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| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
Please comment or provide details below to improve the information on TUI FAMILY MEDICINE PL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.