DUNLAWTON FAMILY MEDICINE PLC NPI 1629061767

NPI Information

NPI: 1629061767
Provider Name: DUNLAWTON FAMILY MEDICINE PLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2131445

Address:
790 DUNLAWTON AVE
SUITE E
PORT ORANGE, FL
ZIP 32127
Phone: (386) 760-1877
Get Directions

DUNLAWTON FAMILY MEDICINE PLC is a primary care clinic center in Port Orange, FL. DUNLAWTON FAMILY MEDICINE PLC NPI is 1629061767. The provider is registered as an organization entity type.

The provider's business location address is:

790 DUNLAWTON AVE
SUITE E
PORT ORANGE, FL
ZIP 32127-222
Phone: (386) 760-1877
Fax: (386) 760-2791

The provider's authorized official is Mark David Kendrick .
The authorized official title is President and has the following contact phone number (386) 760-1877.

The CLIA number assigned to this NPI record is 10D2131445 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 6/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45360	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »