FAMILY MEDICINE & REHAB INC


Address: 7685 103rd Street, Suite 1, Jacksonville, FL 32210
Phone: 9047711116

FAMILY MEDICINE & REHAB INC (NPI# 1578777504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578777504
Entity Type Organization
Organization Name FAMILY MEDICINE & REHAB INC
Practice Address 7685 103rd Street
Suite 1
Jacksonville
FL 32210
Practice Telephone 9047711116
Practice Fax Number 9047710515
Mailing Telephone 9047711116
Mailing Fax Number 9047710515
Enumeration Date 2007-05-09
Last Update Date 2008-08-20
Authorized Official Name SYED S HUSSAIN (PRESIDENT)
Authorized Official Telephone 9047711116
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 261QH0100X Clinic/Center
Specialization: Health Service
ME74307 FL Ambulatory Health Care Facilities

Office Location

Street Address 7685 103RD STREET
SUITE 1
City JACKSONVILLE
State FL
Zip Code 32210

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City JACKSONVILLE
Zip Code 32210

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Dataset Information

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.

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