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

Genesis Group of Family Practices LLC

Organization General Practice Physician · NPI 1215464094

Genesis Group of Family Practices LLC provides General Practice Physician services in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

800 S Nova Rd Ste J
Ormond Beach, FL 32174-9048
Phone: (386) 218-2353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence OS8600 (FL)

Record details

NPI number1215464094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Chanmugam — President · (386) 218-2353
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017
Mailing address1133 Saxon Blvd, Ste 100, Orange City, FL 32763-8425

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