| Family Medical Community Center, 'inc' | |
|
3215 S Us Highway 1 Ste B Fort Pierce FL 34982-6379 | |
| (772) 241-5031 | |
| (800) 920-8929 |
| Full Name | Family Medical Community Center, 'inc' |
|---|---|
| Speciality | Clinic/Center |
| Location | 3215 S Us Highway 1 Ste B, Fort Pierce, Florida |
| Authorized Official Name and Position | Marjorie Mercie Gedeon (PRESIDENT) |
| Authorized Official Contact | 7722415031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Community Center, 'inc' 3215 S Us Highway 1 Ste B Fort Pierce FL 34982-6379 Ph: (772) 241-5031 | Family Medical Community Center, 'inc' 3215 S Us Highway 1 Ste B Fort Pierce FL 34982-6379 Ph: (772) 241-5031 |
| NPI Number | 1457178691 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 5294261004 |
|---|---|
| Medicare Enrollment ID | O20241203004703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457178691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Marjorie Mercie Gedeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245738566 PECOS PAC ID: 7618215716 Enrollment ID: I20190215000776 |
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