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NPI Code Detail

MEDICARE: FAMILY CARE PHYSICANS, LLP

MEDICARE: FAMILY CARE PHYSICANS, LLP
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1346271368
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CARE PHYSICANS, LLP
Provider Business Mailing Address
First Line : 401 VENTURE DR
Second Line : SUITE A
City : SOUTH DAYTONA
State : FL
Zip : 32119-3478
Country : US
Telephone Number : 386-761-8888
Fax Number : 386-760-8798
Provider Business Practice Location Address
First Line : 401 VENTURE DR
Second Line : SUITE A
City : SOUTH DAYTONA
State : FL
Zip : 32119-3478
Country : US
Telephone Number : 386-761-8888
Fax Number : 386-760-8798
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. JEFFREY FRIEDMAN
Credential : DO
Telephone Number : 386-761-8888
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/22/2020

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Directions to “FAMILY CARE PHYSICANS, LLP ” Practice Location

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