Pecks Family Practice Plc in Ormond Beach - Family Medicine
Pecks Family Practice Plc - NPI 1164528915
Pecks Family Practice Plc is a Family Medicine in Ormond Beach, Florida. Pecks Family Practice Plc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Pecks Family Practice Plc is 1164528915. The last update date is 2010-08-12.
Pecks Family Practice Plc's current location address is 1688 W Granada Blvd, Ormond Beach, Florida. You can contact this provider via phone number 3866772018 and fax number 3866760737. The mailing address for Pecks Family Practice Plc is 1688 W Granada Blvd, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pecks Family Practice Plc |
|---|---|
| Address | 1688 W Granada Blvd, Ormond Beach, Florida |
| Phone Number | 3866772018 |
| Fax Number | 3866760737 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Peck Jay Benjamin |
| Credentials | MD |
| Telephone Number | 3866772018 |
NPI Number Detail
| NPI Number | 1164528915 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2010-08-12 |
Provider Mailing Address Detail
| Address | 1688 W Granada Blvd |
|---|---|
| City | Ormond Beach |
| State | Florida (FL) |
| Post Code | 321741851 |
| Phone Number | 3866772018 |
| Fax Number | 3866760737 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME71672 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA1617 | FL | RAILROAD MEDICARE | |
| 271555400 | FL | -- | |
| 34648 | FL | BCBS OF FLODIDA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Pecks Family Practice Plc by the Centers for Medicare & Medicaid Services?
The Pecks Family Practice Plc has been assigned the NPI (National Provider Identifier) 1164528915 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Pecks Family Practice Plc?
The Pecks Family Practice Plc is situated at 1688 W Granada Blvd, in the city of Ormond Beach, state of FL, with the zip code 321741851.
What is Pecks Family Practice Plc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pecks Family Practice Plc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did the Pecks Family Practice Plc receive its 1164528915?
The Pecks Family Practice Plc was issued its 1164528915 on 2006-09-16, which is the date when the organization was assigned this unique identifier.
When was the information regarding Pecks Family Practice Plc most recently updated?
The details pertaining to the Pecks Family Practice Plc, including its address, specialty, and other relevant information, were last refreshed on 2010-08-12.
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