MEDICARE: UNIVERSAL FAMILY CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
2	363LP2300X	Primary Care Nurse Practitioner
3	261QM1300X	Multi-Specialty Clinic/Center
4	261Q00000X	Clinic/Center
5	291U00000X	Clinical Medical Laboratory
6	363LF0000X	Family Nurse Practitioner
7	202C00000X	Independent Medical Examiner Physician
8	208D00000X	General Practice Physician
9	171W00000X	Contractor
10	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023695988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL FAMILY CARE, LLC

Provider Business Mailing Address
First Line	:	6820 SAINT AUGUSTINE RD STE A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-2818
Country	:	US
Telephone Number	:	904-337-1268
Fax Number	:	720-600-0873

Provider Business Practice Location Address
First Line	:	6820 SAINT AUGUSTINE RD STE A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-2818
Country	:	US
Telephone Number	:	904-337-1268
Fax Number	:	720-600-0873

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	FABIOLA B MARCELIN
Credential	:	APRN
Telephone Number	:	904-337-1268

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	02/12/2026

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