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

Family Health Center at Port St John LLC

Organization Family Medicine Physician · NPI 1851575377

Family Health Center at Port St John LLC provides Family Medicine Physician services in Cocoa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3740 Curtis Blvd Ste 108
Cocoa, FL 32927-3962 Not confirmed with CMS for 12 years — call before visiting
Phone: (321) 633-5500
Fax: (321) 633-5566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS9694 (FL)

Record details

NPI number1851575377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janis Black — Physician/Owner · (321) 633-5500
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 3, 2013
Mailing address3740 Curtis Blvd, Suite 108, Cocoa, FL 32927-3962

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