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Primary Care Center of Port Orange

Family Medicine Physician in Port Orange, FL · enumerated 2008 · authorized official Michelle Jackson, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295910834

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Registry record

Entity type Organization (Type 2)
Legal business name Primary Care Center of Port Orange
Practice address 4770 S Ridgewood Ave, Suite 1, Port Orange, FL, 32127
Phone (386) 761-0050
Fax (386) 761-1167
Enumeration date Jan 2, 2008
Last updated in NPPES Mar 29, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME0028054 (FL) Primary

Authorized official

Name Michelle Jackson
Title Office Manager
Phone (386) 761-0050

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Primary Care Center of Port Orange?
The NPI for Primary Care Center of Port Orange is 1295910834, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Primary Care Center of Port Orange?
NPPES lists Michelle Jackson (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-29.