Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

East Volusia Family Practice PA

Organization Family Medicine Physician · NPI 1053384610

East Volusia Family Practice PA provides Family Medicine Physician services in Port Orange, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3911 S Nova Rd
Port Orange, FL 32127-4910 Not confirmed with CMS for 18 years — call before visiting
Phone: (386) 322-0811
Fax: (386) 761-5449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053384610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lane Jennings — President · (386) 322-0811
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJuly 9, 2008
Mailing address3911 S Nova Rd, Port Orange, FL 32127-4910

Other providers in Port Orange