| The Family Clinic Llc | |
|
621 Florida Ave Lynn Haven FL 32444-1737 | |
| (850) 265-3606 | |
| (850) 271-0400 |
| Full Name | The Family Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 621 Florida Ave, Lynn Haven, Florida |
| Authorized Official Name and Position | Kymberly Dee Rittman (PARTNER) |
| Authorized Official Contact | 8502653606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Clinic Llc 621 Florida Ave Lynn Haven FL 32444-1737 Ph: (850) 265-3606 | The Family Clinic Llc 621 Florida Ave Lynn Haven FL 32444-1737 Ph: (850) 265-3606 |
| NPI Number | 1346425659 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 05/13/2015 |
| Medicare PECOS PAC ID | 2769558758 |
|---|---|
| Medicare Enrollment ID | O20080827000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346425659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS10197 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | OS7653 (Florida) | Secondary |
| 207R00000X | Internal Medicine | OS10001 (Florida) | Primary |
| Provider Name | Christopher Rittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235281767 PECOS PAC ID: 6709986383 Enrollment ID: I20070711000772 |
| Provider Name | Kimberly Rittman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740370097 PECOS PAC ID: 1254408651 Enrollment ID: I20080927000017 |
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