FAMILY PRACTICE ASSOCIATES OF ORANGE PARKPA NPI 1801895669

NPI Information

  • NPI: 1801895669
  • Provider Name: FAMILY PRACTICE ASSOCIATES OF ORANGE PARK,PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D0919198
  • Address: 1594 KINGSLEY AVE
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 264-8621

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NPI Details

FAMILY PRACTICE ASSOCIATES OF ORANGE PARK,PA is a family medicine in Orange Park, 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. FAMILY PRACTICE ASSOCIATES OF ORANGE PARK,PA NPI is 1801895669. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1594 KINGSLEY AVE
ORANGE PARK, FL
ZIP 32073-546
Phone: (904) 264-8621

The provider's authorized official is Suzanne M Ryan .
The authorized official title is Billing Specialist and has the following contact phone number (904) 264-8621.

The CLIA number assigned to this NPI record is 10D0919198 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineFLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
198691OTHERFLORIDABLUE CROSS 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: 3/30/2025

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