Organization Active NPI

Volusia Family Care PA

  • Family Medicine Physician
  • Port Orange, FL
National Provider Identifier
1467644385
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VOLUSIA FAMILY CARE PA
Practice address
1690 Dunlawton Ave
Suite 220
Port Orange, FL 32127-8979
Phone
(386) 760-0090
Fax
(386) 760-0644
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Dr. George Solomon, M.D.,FAAFP,AME,CCAT
Title
President
Phone
(386) 760-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1690 Dunlawton Ave
Suite 220
Port Orange, FL 32127-8979

Mailing address

1690 Dunlawton Ave
Suite 220
Port Orange, FL 32127-8979
Phone (386) 760-0090

National Provider Directory

National Provider Directory

Locations

1690 Dunlawton Ave
Ste 220
Port Orange, FL 32127
Phone (386) 492-0100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1467644385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "SUITE 220",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "386-760-0090",
            "fax_number": "386-760-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "SUITE 220",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "386-760-0090",
            "fax_number": "386-760-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-760-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,FAAFP,AME,CCAT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.