MEDICARE: FG FAMILY HEALTH CORP

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	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1831070150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FG FAMILY HEALTH CORP

Provider Business Mailing Address
First Line	:	7001 MERRILL RD STE 10-11
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-3005
Country	:	US
Telephone Number	:	786-312-8508
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 MERRILL RD STE 10-11
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-3005
Country	:	US
Telephone Number	:	786-312-8508
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. OLISDAY FERRER
Credential	:	APRN
Telephone Number	:	786-312-8508

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	12/22/2025

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Directions to “FG FAMILY HEALTH CORP ” Practice Location

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