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TECSON FAMILY PRACTICE INC NPI 1205097060


NPI Information

NPI: 1205097060
Provider Name: TECSON FAMILY PRACTICE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
725 S 6TH ST
MACCLE
MACCLENNY, FL
ZIP 32063
Phone: (904) 259-3150
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TECSON FAMILY PRACTICE INC is a family medicine in Macclenny, 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. TECSON FAMILY PRACTICE INC NPI is 1205097060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

725 S 6TH ST
MACCLE
MACCLENNY, FL
ZIP 32063
Phone: (904) 259-3150
Fax: (904) 259-7890

The provider's authorized official is Angelito B Tecson .
The authorized official title is Owner and has the following contact phone number (904) 259-3150.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 9/29/2008.


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 Medicine00ME28296FLORIDAYes

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
1586668OTHERFLORIDAAETNA
202016MEDICARE PINFLORIDA
3058027900MEDICAIDFLORIDA
4D50291MEDICARE UPINFLORIDA
5041706OTHERFLORIDAAV MED

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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