FAMILY MEDICINE & REHAB INC NPI 1578777504

NPI Information

NPI: 1578777504
Provider Name: FAMILY MEDICINE & REHAB INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 10D0968343

Address:
7685 103RD STREET
SUITE 1
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 771-1116
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FAMILY MEDICINE & REHAB INC is a health service clinic center in Jacksonville, FL. FAMILY MEDICINE & REHAB INC NPI is 1578777504. The provider is registered as an organization entity type.

The provider's business location address is:

7685 103RD STREET
SUITE 1
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 771-1116
Fax: (904) 771-0515

The provider's authorized official is Syed S Hussain .
The authorized official title is Ceo and has the following contact phone number (904) 771-1116.

The CLIA number assigned to this NPI record is 10D0968343 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/29/2022.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QH0100X	Clinic/Center	Health Service	ME74307	FLORIDA	Yes

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

NPI Synchronization or Removal

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