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Family Care Of Palm Coast Pa
Medical Specialty Clinic/Center in Palm Coast, Florida
NPI 1366607335

Family Care Of Palm Coast Pa is a Medical Specialty Clinic/Center based in Palm Coast, FL and is specialized in Medical Specialty. Family Care Of Palm Coast Pa practices in Palm Coast, FL. The NPI Number for Family Care Of Palm Coast Pa is 1366607335 and holds a License No. 92879 (Florida).

The current practice location address for Family Care Of Palm Coast Pa is 4869 Palm Coast Parkway Nw 802, Palm Coast, FL and can be reached out via phone at 386-445-2003 and via fax at 386-445-7445.

Location: 4869 Palm Coast Parkway Nw 802, Palm Coast, FL, 32137-3661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366607335
Provider Name
Family Care Of Palm Coast Pa
Credential
Provider Entity Type
Organization
Address
4869 Palm Coast Parkway Nw 802, Palm Coast, FL, 32137-3661
Phone Number
386-445-2003
Fax Number
386-445-7445
Provider Enumeration Date
07/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U6363Z 01 FL MEDICARE NUMBER
273940200 05 FL
institution
Provider Business Practice Location Address Details
Address
4869 Palm Coast Parkway Nw 802
City
Palm Coast
State
Florida
Zip
32145
Phone Number
386-445-2003
Fax Number
386-445-7445
person
Provider Business Mailing Address Details
Address
4869 Palm Coast Parkway Nw 802
City
Palm Coast
State
Florida
Zip
32145
Phone Number
386-445-2003
Fax Number
386-445-7445
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
92879 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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