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FAMILY CARE CENTER CORP NPI 1447654876


NPI Information

NPI: 1447654876
Provider Name: FAMILY CARE CENTER CORP
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2094142

Address:
2928 DANIELS ST
MARIANNA, FL
ZIP 32446
Phone: (850) 526-3555
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FAMILY CARE CENTER CORP is a general practice in Marianna, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FAMILY CARE CENTER CORP NPI is 1447654876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2928 DANIELS ST
MARIANNA, FL
ZIP 32446-912
Phone: (850) 526-3555
Fax: (850) 526-3570

The provider's authorized official is Nolberto Armando Sanchez .
The authorized official title is Owner and has the following contact phone number (850) 526-3555.

The CLIA number assigned to this NPI record is 10D2094142 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 10/20/2022.


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
1208D00000XGeneral PracticeYes

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
1110815100MEDICAIDFLORIDA
20093SOTHERFLORIDAFLORIDA BLUE

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.