Active NPI
Olivia Michelle Dvorak, FNP
- Family Nurse Practitioner
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11030051
- Practice address
- 325 Clyde Morris Blvd Ste 450
Ormond Beach, FL 32174-8179 - Phone
- (386) 673-2442
- Fax
- (386) 673-4884
- NPI assigned
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11030051 | FL | Primary |
Addresses
Primary practice location
325 Clyde Morris Blvd Ste 450
Ormond Beach, FL 32174-8179
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other practice location 1
1726 Dunlawton Ave
Port Orange, FL 32127-8929
Phone (386) 767-6977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121640800 | Medicaid | FL |
Other names 1
- Olivia Michelle Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240103003925 | FL | Practitioner - Nurse Practitioner | 7911358924 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Cancer Specialists and Research Institute, LLC
Practice addresses (Care Compare)
325 Clyde Morris Blvd
Suite 450
Ormond Beach, FL 32174-8179
Phone (386) 673-2442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Urgent Care Center of Port Orange, LLC | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Past | Accepting new patients |
Locations
325 Clyde Morris Blvd
Ste 450
Ormond Beach, FL 32174
Phone (386) 673-2442
1726 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 767-6679
1690 Dunlawton Ave
Ste 120
Port Orange, FL 32127
Phone (386) 481-6674
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
FL
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1043087018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CLYDE MORRIS BLVD STE 450",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748179",
"telephone_number": "386-673-2442",
"fax_number": "386-673-4884"
}
],
"practiceLocations": [
{
"address_1": "1726 Dunlawton Ave",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "321278929",
"country_code": "US",
"telephone_number": "386-767-6977",
"fax_number": "386-767-6786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DVORAK",
"first_name": "OLIVIA",
"middle_name": "MICHELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11030051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121640800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "MILLER",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.