Provider Type Icon

ALL CITY FAMILY HEALTH CORP NPI 1003901687


NPI Information

NPI: 1003901687
Provider Name: ALL CITY FAMILY HEALTH CORP
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
4721 E MOODY BLVD
BLDG 1 SUITE 103
BUNNELL, FL
ZIP 32110
Phone: (386) 586-1229
Get Directions

ALL CITY FAMILY HEALTH CORP is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Bunnell, FL. ALL CITY FAMILY HEALTH CORP NPI is 1003901687. The provider is registered as an organization entity type.

The provider's business location address is:

4721 E MOODY BLVD
BLDG 1 SUITE 103
BUNNELL, FL
ZIP 32110-706
Phone: (386) 586-1229
Fax: (386) 586-2887

The provider's authorized official is Eric M Ordonez .
The authorized official title is Owner and has the following contact phone number (386) 584-1229.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/30/2015.


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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00307040OTHERFLORIDARAILROAD MEDICARE
2684885MEDICARE ID-TYPE UNSPECIFIEDFLORIDACORF
3GK4OTHERFLORIDAFL BLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.