Primary Care of Port Orange
NPI 1053861054 · Health Maintenance Organization · Port Orange, FL
Primary Care of Port Orange is a Health Maintenance Organization organization in Port Orange, FL (NPI 1053861054).
Provider details
- NPI number
- 1053861054
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Michelle Gunter, Office Manager(386) 761-4670
- License
- 9308547 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-13
- Last updated
- 2016-10-13
Frequently asked questions
- What is Primary Care of Port Orange's NPI number?
- Primary Care of Port Orange's National Provider Identifier (NPI) is 1053861054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Care of Port Orange?
- Primary Care of Port Orange is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Primary Care of Port Orange located?
- Primary Care of Port Orange's practice location on file with NPPES is 4770 S Ridgewood Ave, Port Orange, FL 32127-4544.
- What is Primary Care of Port Orange's phone number?
- The practice phone number listed in the NPPES registry for Primary Care of Port Orange is (386) 761-4670.
- Who is the authorized official for Primary Care of Port Orange?
- The authorized official listed on Primary Care of Port Orange's NPPES record is Michelle Gunter, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Care of Port Orange's NPI active?
- Yes — Primary Care of Port Orange's NPI (1053861054) is active in the NPPES registry as of the last update on 2016-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.