Michael Keenan Addis

Nurse Practitioner · Orange City, FL

Individual Active NPI

NPI number 1073429122

Practice location

2156 Big Bend Ave
Orange City, FL 32763-7722
Phone
(407) 808-1121

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NPI record

NPI
1073429122
Entity type
Individual (Type 1)
Enumeration date
August 19, 2026
Last updated
August 19, 2026
Certified
August 19, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 11050060 FL

About Michael Addis

Michael Keenan Addis is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2156 Big Bend Ave, Orange City, FL 32763-7722. The NPI number 1073429122 was assigned on August 19, 2026 and the record was last updated on August 19, 2026.

Michael Addis lists a license in the registry: #11050060 (FL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Keenan Addis?

The NPI number is 1073429122.

What is the phone number of Michael Addis?

The phone number listed for the practice location is (407) 808-1121.

Where is Michael Addis located?

2156 Big Bend Ave, Orange City, FL 32763-7722.

What is the taxonomy code for Michael Addis?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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