MEDICARE: FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC

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
1	207Q00000X	Family Medicine Physician	ME22269	FL

General Provider Information

NPI Number	:	1750323143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC

Provider Business Mailing Address
First Line	:	425 W COLONIAL DR STE 303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6863
Country	:	US
Telephone Number	:	833-702-8383
Fax Number	:	689-304-0303

Provider Business Practice Location Address
First Line	:	9550 REGENCY SQUARE BLVD STE 300
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-8165
Country	:	US
Telephone Number	:	904-744-7300
Fax Number	:	904-722-4271

Authorized Official
Title or Position	:	SECRETARY
Name	:	DAVID BROWN
Credential	:
Telephone Number	:	833-702-8383

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	03/26/2026

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