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FAMILIES FIRST MEDICAL GROUP LLC NPI 1154942563


NPI Information

NPI: 1154942563
Provider Name: FAMILIES FIRST MEDICAL GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2197879

Address:
11555 CENTRAL PKWY STE 402
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 747-3800
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FAMILIES FIRST MEDICAL GROUP LLC is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILIES FIRST MEDICAL GROUP LLC NPI is 1154942563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11555 CENTRAL PKWY STE 402
JACKSONVILLE, FL
ZIP 32224-695
Phone: (904) 747-3800

The provider's authorized official is Tracee Holzendorf .
The authorized official title is Administrator and has the following contact phone number (904) 608-0095.

The CLIA number assigned to this NPI record is 10D2197879 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2020 and was last updated on 12/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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