Healthcare Provider Details

I. General information

NPI: 1285567339
Provider Name (Legal Business Name): FM FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6689 SHERBOURNE CT
MASON OH
45040-6695
US

IV. Provider business mailing address

6689 SHERBOURNE CT
MASON OH
45040-6695
US

V. Phone/Fax

Practice location:
  • Phone: 347-251-9842
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SITORA FIRDAVSI
Title or Position: OWNER
Credential:
Phone: 347-251-9842