| Brentwood Family Care Center, Inc. | |
|
4880 Big Island Dr Unit 3 Jacksonville FL 32246-7490 | |
| (904) 750-6863 | |
| Not Available |
| Full Name | Brentwood Family Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4880 Big Island Dr Unit 3, Jacksonville, Florida |
| Authorized Official Name and Position | Nancy A Wolfe-sidberry (PRESIDENT) |
| Authorized Official Contact | 6153708080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Family Care Center, Inc. 4880 Big Island Dr Unit 3 Jacksonville FL 32246-7490 Ph: (904) 750-6863 | Brentwood Family Care Center, Inc. 4880 Big Island Dr Unit 3 Jacksonville FL 32246-7490 Ph: (904) 750-6863 |
| NPI Number | 1093739617 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 06/04/2025 |
| Medicare PECOS PAC ID | 1254402340 |
|---|---|
| Medicare Enrollment ID | O20080617000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093739617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nancy A Wolfe-sidberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073633780 PECOS PAC ID: 3173694262 Enrollment ID: I20080617000596 |
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