Organization · Type 2 NPI
Paradise Family Practice LLC
Family Nurse Practitioner · Port Orange, FL
NPI number
1609662337
Active
Practice location
1402 Dunlawton Ave
Port Orange, FL 32127-2917
Fax (828) 800-9933
Mailing address
5327 Plantation Home Way
Port Orange, FL 32128-7528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Port Orange
About NPI 1609662337
Paradise Family Practice LLC's National Provider Identifier is 1609662337, issued on Apr 18, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Orange, FL. The record was last updated on Mar 24, 2026.