| Family Care Partners Of Northeast Florida Llc | |
|
6484 Fort Caroline Rd Jacksonville FL 32277-2042 | |
| (904) 744-7300 | |
| (904) 722-4271 |
| Full Name | Family Care Partners Of Northeast Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6484 Fort Caroline Rd, Jacksonville, Florida |
| Authorized Official Name and Position | David Brown (SECRETARY) |
| Authorized Official Contact | 8337028383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Partners Of Northeast Florida Llc 425 W Colonial Dr Ste 303 Orlando FL 32804-6863 Ph: (904) 745-3127 | Family Care Partners Of Northeast Florida Llc 6484 Fort Caroline Rd Jacksonville FL 32277-2042 Ph: (904) 744-7300 |
| NPI Number | 1750323143 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 01/03/2025 |
| Medicare PECOS PAC ID | 7214832245 |
|---|---|
| Medicare Enrollment ID | O20031203000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750323143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME22269 (Florida) | Primary |
| Provider Name | Charles R Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154389112 PECOS PAC ID: 7911933536 Enrollment ID: I20050714000322 |
| Provider Name | Manuel Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245281708 PECOS PAC ID: 1658412507 Enrollment ID: I20100114000126 |
| Provider Name | Jorge A Buendia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386931293 PECOS PAC ID: 1254569668 Enrollment ID: I20140723001346 |
| Provider Name | Fernando Parawan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649377441 PECOS PAC ID: 6800994781 Enrollment ID: I20141117000412 |
| Provider Name | Ali R Afshar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083901177 PECOS PAC ID: 8325320104 Enrollment ID: I20170131002832 |
| Provider Name | Jeffrey L Vongjesda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003286824 PECOS PAC ID: 6901199645 Enrollment ID: I20170223001539 |
| Provider Name | Jonathan Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023463 PECOS PAC ID: 1557666302 Enrollment ID: I20180612001255 |
| Provider Name | Erica Shanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952875254 PECOS PAC ID: 0547508574 Enrollment ID: I20190215002106 |
| Provider Name | Suzanne Chestnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447905179 PECOS PAC ID: 4284009457 Enrollment ID: I20230401000096 |
| Provider Name | Manal El-hag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720616956 PECOS PAC ID: 5294198008 Enrollment ID: I20230828000624 |
| Provider Name | Noelvys Del Valle Napoles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467239509 PECOS PAC ID: 1759736689 Enrollment ID: I20231013000027 |
| Provider Name | Jessica Maria Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619609138 PECOS PAC ID: 0345686945 Enrollment ID: I20240305004624 |
| Provider Name | Tracy Little Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881430437 PECOS PAC ID: 3577098235 Enrollment ID: I20241119001637 |
| Provider Name | Bruntina Marcelus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386326601 PECOS PAC ID: 6204271893 Enrollment ID: I20250306000171 |
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