FORT PIERCE FAMILY CARE INC. NPI 1710271333

NPI Information

FORT PIERCE FAMILY CARE, INC. is a primary care clinic center in Fort Pierce, FL. FORT PIERCE FAMILY CARE, INC. NPI is 1710271333. The provider is registered as an organization entity type.

The provider's business location address is:

3851 VIRGINIA AVENUE
FORT PIERCE, FL
ZIP 34981
Phone: (954) 661-8151

The provider's authorized official is Jerry Jacobson .
The authorized official title is Physician and has the following contact phone number (954) 661-8151.

The CLIA number assigned to this NPI record is 10D2035315 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/31/2011 and was last updated on 5/31/2011.

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:

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