Organization directory

<UNAVAIL> fax numbers

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4645 CLYDE MORRIS BLVD STE 404, PORT ORANGE, FL, 32129-3005
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1295221711
Practice address
4645 CLYDE MORRIS BLVD STE 404, PORT ORANGE, FL, 32129-3005
Telephone
(386) 855-8633
Provider specialty
See registry classification 207R00000X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(855) 857-5810
NPI 1295221711

4645 CLYDE MORRIS BLVD STE 404, PORT ORANGE, FL, 32129-3005

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source