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NPI Code Detail

MEDICARE: FELIZ FAMILY CARE, PLLC

MEDICARE: FELIZ FAMILY CARE, PLLC
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
1363LF0000XFamily Nurse Practitioner
2363A00000XPhysician Assistant
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1972493591
Entity Type Code : Organization
Provider Name (Legal Business Name) : FELIZ FAMILY CARE, PLLC
Provider Business Mailing Address
First Line : 1345 E MAIN ST STE 100
Second Line :
City : MESA
State : AZ
Zip : 85203-8950
Country : US
Telephone Number : 480-264-3711
Fax Number :
Provider Business Practice Location Address
First Line : 6707 N 19TH AVE STE 222
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-1106
Country : US
Telephone Number : 623-889-5513
Fax Number :
Authorized Official
Title or Position : CEO
Name : ROMAN CARRASCO
Credential :
Telephone Number : 480-404-7158
Provider Enumeration Date : 07/07/2025
Last Update Date : 12/10/2025

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Directions to “FELIZ FAMILY CARE, PLLC ” Practice Location

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