Organization · Type 2 NPI

Indian River Medical Center LLC

Family Medicine Physician · Port Orange, FL

NPI number 1841010816 Active

Practice location

3821 Woodbriar Trl Ste 6
Port Orange, FL 32129-9611

Call (386) 333-6158 Map

Fax (386) 333-6158

Mailing address

3821 Woodbriar Trl Ste 106
Port Orange, FL 32129-9615

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1841010816

Indian River Medical Center LLC's National Provider Identifier is 1841010816, issued on Oct 15, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 13, 2026.