Healthcare Provider Details

I. General information

NPI: 1457161150
Provider Name (Legal Business Name): FIGNAR FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PINE ST STE 127
ENGLEWOOD FL
34223-4457
US

IV. Provider business mailing address

132 S MILL DR
SOUTH GLASTONBURY CT
06073-2222
US

V. Phone/Fax

Practice location:
  • Phone: 941-681-3333
  • Fax: 941-681-3335
Mailing address:
  • Phone: 860-670-4241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY ALAN FIGNAR
Title or Position: OWNER
Credential: MD
Phone: 860-670-4241