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

Primary Care of Orange City LLC

Organization Family Medicine Physician · NPI 1831615087

Primary Care of Orange City LLC provides Family Medicine Physician services in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2
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

135 E Minnesota Ave
Orange City, FL 32763-2312
Phone: (386) 241-0274
Fax: (386) 241-0275
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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 ARNP3333802 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1831615087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Croker — Owner · (386) 473-3553
NPI enumeratedAugust 19, 2017
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020
Mailing address341 W Minnesota Ave, Orange City, FL 32763-2205

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