Organization

Family Care Partners Of Northeast Florida Llc

Family Medicine Physician in Jacksonville, FL(View on Map)

Legal Business Name

Family Care Partners Of Northeast Florida Llc

NPI Number

1750323143

NPI Type

Organization

Enumeration Date

06/12/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME22269

Contact
Information

Purpose

Mailing
Location

Address

6900 TAVISTOCK LAKES BLVD STE 300
6484 FORT CAROLINE RD

City

Orlando
Jacksonville

State

FL
FL

Postal Code

32827-7592
32277-2042

Country

US
US

Telephone Number

(904) 745-3127
(904) 744-7300

Authorized Official

Name

Doug Malton

Title or Position

CFO

Telephone Number

(833) 309-3737

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/12/2023

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