| Family Care | |
|
2302 North Blvd. Suite D Davenport FL 33837 | |
| (863) 422-1400 | |
| (863) 419-7935 |
| Full Name | Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2302 North Blvd., Davenport, Florida |
| Authorized Official Name and Position | Maria Nina Concepcion (OWNER) |
| Authorized Official Contact | 8634221400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Po Box 3068 Davenport FL 33836-3068 Ph: (863) 422-1400 | Family Care 2302 North Blvd. Suite D Davenport FL 33837 Ph: (863) 422-1400 |
| NPI Number | 1184870016 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 12/22/2008 |
| Medicare PECOS PAC ID | 2466514880 |
|---|---|
| Medicare Enrollment ID | O20081218000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184870016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME102084 (Florida) | Primary |
| Provider Name | Maria N Concepcion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164687133 PECOS PAC ID: 7012079437 Enrollment ID: I20081218000704 |
| Provider Name | Marygold Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760748644 PECOS PAC ID: 2466752688 Enrollment ID: I20171012000846 |
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