FAMILY CARE OF PALM COAST PA (NPI# 1366607335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366607335 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE OF PALM COAST PA |
| Practice Address |
4869 Palm Coast Parkway Nw 802 Palm Coast FL 32145 |
| Mailing Address |
4869 Palm Coast Pkwy Nw # 802 Palm Coast FL 32137-3661 |
| Practice Telephone | 3864452003 |
| Practice Fax Number | 3864457445 |
| Mailing Telephone | 3864452003 |
| Mailing Fax Number | 3864457445 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |
| Authorized Official Name | MARINA RABKIN (PRESIDENT) |
| Authorized Official Telephone | 3864452003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
92879 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE NUMBER | U6363Z | 01 |
| FL | 273940200 | 05 |
| Street Address |
4869 PALM COAST PARKWAY NW 802 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073804357 | Sharon Lee Sprenger | Community Health Worker | 206 Mcclung Ave., 1, Hastings, FL 32145 | 2011-04-21 |
| 1265592745 | S S Marathe Md Pa | Internal Medicine | 201 West Lattin Street, Hastings, FL 32145 | 2006-12-12 |
| 1861720559 | Mark Casey Phillips | Pharmacy | 100 N Main St, Hastings, FL 32145 | 2009-11-18 |
| 1356318885 | Rural Health Care, Inc. | Clinic/Center | 765 E Saint Johns Ave, Hastings, FL 32145-3936 | 2006-03-03 |
| 1902860182 | G4s Youth Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 765 E Saint Johns Ave, Hastings, FL 32145-3936 | 2006-04-14 |
| 1639356389 | Raymond J Mikelionis | Family Medicine | 201 W. Lattin Street, Hastings, FL 32145-4111 | 2008-01-24 |
| 1679822993 | Rural Health Care, Incorporated | Clinic/Center | 201 West Lattin Street, Hastings, FL 32145-4111 | 2012-08-31 |
| 1538369509 | Stephen Joseph Velez | Dentist | 432 S Dancy Ave, Hastings, FL 32145-5428 | 2007-07-19 |
| 1386021897 | Inbound Foundation, Inc. | Psychologist | 6195 S Main St, Hastings, FL 32145-5592 | 2015-05-05 |
| 1720502081 | Patrick Carter | Behavior Technician | 6195 S Main St, Hastings, FL 32145-5592 | 2017-07-28 |
| Find all providers in zip 32145 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285881946 | Palm Coast Cardiovascular Institute Pl | Clinic/Center | 19 Old Kings Rd N Ste C101, Palm Coast, FL 32137-8261 | 2008-08-25 |
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| 1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
| 1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
| 1891327326 | Curative Care Center | Clinic/Center | 1978 Rockledge Blvd Ste 103, Rockledge, FL 32955-3722 | 2020-02-12 |
| 1427689975 | Integrity Spine & Orthopedics of Melbourne LLC | Clinic/Center | 1640 Highway A1a Ste C, Satellite Beach, FL 32937-5451 | 2020-02-03 |
| 1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
| 1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
| 1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32145 |
Please comment or provide details below to improve the information on FAMILY CARE OF PALM COAST PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.