Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Orange Internists PA

Organization Family Medicine Physician · NPI 1689861205

Port Orange Internists PA provides Family Medicine Physician services in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

3890 Turtle Creek Dr
Port Orange, FL 32127-9358 Not confirmed with CMS for 19 years — call before visiting
Phone: (386) 756-4400
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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 · Licence ME00050810 (FL)

Record details

NPI number1689861205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Souheil Moussly — Owner · (386) 756-4400
NPI enumeratedSeptember 27, 2007
Last updated in NPPESSeptember 27, 2007
Mailing address3890 Turtle Creek Dr, Port Orange, FL 32127-9358

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