East Volusia Family Practice PA
NPI 1053384610ActiveOrganization· Family Medicine· Port Orange, FL
Family Medicine in Port Orange, Florida, registered in NPPES in February 2006. The authorized official on file is Lane E. Jennings, M.D., President.
Overview
| NPI | 1053384610 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2006 |
| Last updated in NPPES | Jul 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Port Orange
- 1083359061
- 1093391336
- 1396572855
- 1467216523
- 1477855815
- 1215689757
- 1154833887
- 1760673776
- 1841010816
- 1366752552
- 1124699095
- 1134504855