| Family Medical Center | |
|
13438 Fort King Rd. Dade City FL 33525-5214 | |
| (352) 567-5266 | |
| (352) 567-3066 |
| Full Name | Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 13438 Fort King Rd., Dade City, Florida |
| Authorized Official Name and Position | Bobbie Inez Comfort-marsh (OFFICE MANAGER/ADMINISTRATOR) |
| Authorized Official Contact | 8638537822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center 13438 Fort King Rd. Dade City FL 33525-5214 Ph: (352) 567-5266 | Family Medical Center 13438 Fort King Rd. Dade City FL 33525-5214 Ph: (352) 567-5266 |
| NPI Number | 1790799526 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 05/22/2014 |
| Medicare PECOS PAC ID | 9335034826 |
|---|---|
| Medicare Enrollment ID | O20040216000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790799526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Hector Esteban Guevara Garay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376719971 PECOS PAC ID: 7618015355 Enrollment ID: I20091117000465 |
| Provider Name | Tiffany Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679137541 PECOS PAC ID: 5799014551 Enrollment ID: I20190904002709 |
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