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Organization
PARADISE FAMILY PRACTICE LLC
Active
Organization
PARADISE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE HARRISON (OWNER)
(386) 405-7375
Entity
Organization
Contact information
Practice address
1402 DUNLAWTON AVE, PORT ORANGE, FL 32127-2917
(386) 561-9026
(828) 800-9933
Mailing address
5327 PLANTATION HOME WAY, PORT ORANGE, FL 32128-7528
(386) 278-0183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
03/24/2026
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