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Family Health Center at Port St John LLC

Family Medicine Physician in Cocoa, FL · enumerated 2007 · authorized official Janis Black, Physician/Owner.

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

National Provider Identifier

1851575377

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Registry record

Entity type Organization (Type 2)
Legal business name Family Health Center at Port St John LLC
Practice address 3740 Curtis Blvd, Suite 108, Cocoa, FL, 32927
Phone (321) 633-5500
Fax (321) 633-5566
Enumeration date Dec 19, 2007
Last updated in NPPES Dec 3, 2013

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License OS9694 (FL) Primary

Authorized official

Name Janis Black
Title Physician/Owner
Phone (321) 633-5500

Other identifiers

Identifier Type State Issuer
2753011400 Medicaid FL -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-12-03. Verify at npiregistry.cms.hhs.gov.
Where is Family Health Center at Port St John LLC located?
The practice location on file with NPPES is in Cocoa, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-03.