Paradise Family Practice LLC
NPI 1609662337ActiveOrganization· Nurse Practitioner, Family· Port Orange, FL
Nurse Practitioner, Family in Port Orange, Florida, registered in NPPES in April 2025. The authorized official on file is Cassie Harrison, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609662337 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2025 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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