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FAMILY HEALTH CENTER PEDIATRICS AND FAMILY PRACTICE PA NPI 1356446090


NPI Information

NPI: 1356446090
Provider Name: FAMILY HEALTH CENTER PEDIATRICS AND FAMILY PRACTICE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
245 N CAUSEWAY
NEW SMYRNA BEACH, FL
ZIP 32169
Phone: (386) 426-5800
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FAMILY HEALTH CENTER PEDIATRICS AND FAMILY PRACTICE PA is a family medicine in New Smyrna Beach, 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 HEALTH CENTER PEDIATRICS AND FAMILY PRACTICE PA NPI is 1356446090. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

245 N CAUSEWAY
NEW SMYRNA BEACH, FL
ZIP 32169
Phone: (386) 426-5800
Fax: (386) 426-1416

The provider's authorized official is Dae Sung Choi .
The authorized official title is President and has the following contact phone number (386) 426-5800.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 10/22/2007.


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
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

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
1E34034MEDICARE UPIN
209289MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 5/5/2024

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