| Family First Physician Services Llc | |
|
1801 Se Hillmoor Dr B-109 Port Saint Lucie FL 34952-7553 | |
| (772) 812-5599 | |
| Not Available |
| Full Name | Family First Physician Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1801 Se Hillmoor Dr, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Jason Watt (OWNER) |
| Authorized Official Contact | 5613529174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Physician Services Llc 1801 Se Hillmoor Dr B-109 Port Saint Lucie FL 34952-7553 Ph: (772) 812-5599 | Family First Physician Services Llc 1801 Se Hillmoor Dr B-109 Port Saint Lucie FL 34952-7553 Ph: (772) 812-5599 |
| NPI Number | 1518363951 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 5698080059 |
|---|---|
| Medicare Enrollment ID | O20200610001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518363951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME109645 (Florida) | Primary |
| Provider Name | Jason A Watt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487821641 PECOS PAC ID: 0345416731 Enrollment ID: I20120106000310 |
| Provider Name | Nicole L Beiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821437286 PECOS PAC ID: 9739320250 Enrollment ID: I20130725000966 |
| Provider Name | Jose R Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043823644 PECOS PAC ID: 9739590423 Enrollment ID: I20201202000464 |
| Provider Name | Ikenna Nwamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356872832 PECOS PAC ID: 2466999180 Enrollment ID: I20240731000104 |
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