Individual provider Active NPI

Olivia Michelle Dvorak, FNP

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1043087018
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030051 Issued in FL
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

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
121640800MedicaidFL

Other names 1

  • Olivia Michelle Miller Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 464 clinicians

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)

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Nov 1, 2024 Accepting new patients
Urgent Care Center of Port Orange, LLC CurrentSince Dec 21, 2023 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.

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

Verify at the official NPI Registry.