| Family First Primary Care Pa | |
|
1075 Oakleaf Plantation Pkwy Suite 108 Orange Park FL 32065-3624 | |
| (904) 282-4565 | |
| (904) 282-4225 |
| Full Name | Family First Primary Care Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1075 Oakleaf Plantation Pkwy, Orange Park, Florida |
| Authorized Official Name and Position | Allison Dasta Butler (OWNER) |
| Authorized Official Contact | 9042824565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Primary Care Pa 1075 Oakleaf Plantation Pkwy Suite 108 Orange Park FL 32065-3624 Ph: (904) 282-4565 | Family First Primary Care Pa 1075 Oakleaf Plantation Pkwy Suite 108 Orange Park FL 32065-3624 Ph: (904) 282-4565 |
| NPI Number | 1942481429 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 05/12/2009 |
| Medicare PECOS PAC ID | 0345303798 |
|---|---|
| Medicare Enrollment ID | O20090110000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942481429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME 97725 (Florida) | Primary |
| Provider Name | Allison Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093913212 PECOS PAC ID: 2567559685 Enrollment ID: I20071106000288 |
| Provider Name | Amanda Claire Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173205 PECOS PAC ID: 5092097089 Enrollment ID: I20220902001341 |
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