Universal Family Care, Llc
General Practice Physician in Jacksonville, FL(View on Map)
Legal Business Name
Universal Family Care, Llc
NPI Number
1023695988
NPI Type
Organization
Enumeration Date
03/26/2021
Specialties
(Taxonomies)Name
Code
208D00000X
261Q00000X
171W00000X
202C00000X
207R00000X
171000000X
261QM1300X
261QP2300X
261QS1200X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
4319 SALISBURY RD STE 103
4319 SALISBURY RD STE 103
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32216-0941
32216-0941
Country
US
US
Telephone Number
(904) 337-1268
(904) 337-1268
Authorized Official
Name
Fabiola Marcelin
Title or Position
OWNER, CEO
Telephone Number
(904) 337-1268
Identifiers
Identifier
110369300
Identifier State
FL
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
CONNECT
Endpoint
NA
Endpoint Description
NA
Use
Direct
Content Type
Other
Other Description:NA
Affiliation
N
Endpoint Location
101 Lochnagar Mountain DrSt Johns, FL322596674US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/13/2024
Provider Address
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