Ardent Family Care Pa in Palm Coast - General Practice
Ardent Family Care Pa - NPI 1225131477
Ardent Family Care Pa is a General Practice in Palm Coast, Florida. Ardent Family Care Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ardent Family Care Pa is 1225131477. The last update date is 2009-07-15.
Ardent Family Care Pa's current location address is 84 Pinnacles Dr Ste 200, Palm Coast, Florida. You can contact this provider via phone number 3864399777 and fax number 3862060015. The mailing address for Ardent Family Care Pa is 84 Pinnacles Dr Ste 200, Palm Coast, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ardent Family Care Pa |
|---|---|
| Address | 84 Pinnacles Dr Ste 200, Palm Coast, Florida |
| Phone Number | 3864399777 |
| Fax Number | 3862060015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Alfonso Ascensio Renato |
| Credentials | M.D. |
| Telephone Number | 3864399777 |
NPI Number Detail
| NPI Number | 1225131477 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2009-07-15 |
Provider Mailing Address Detail
| Address | 84 Pinnacles Dr Ste 200 |
|---|---|
| City | Palm Coast |
| State | Florida (FL) |
| Post Code | 321642324 |
| Phone Number | 3864399777 |
| Fax Number | 3862060015 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | D049 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253950100 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ardent Family Care Pa by the Centers for Medicare & Medicaid Services?
The Ardent Family Care Pa has been issued the NPI (National Provider Identifier) 1225131477. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ardent Family Care Pa is located?
The Ardent Family Care Pa is situated at the following address: 84 Pinnacles Dr Ste 200, Palm Coast, FL, 321642324.
What is Ardent Family Care Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ardent Family Care Pa is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
On what date did the Ardent Family Care Pa receive the assignment of its 1225131477 from the Centers for Medicare & Medicaid Services?
The Ardent Family Care Pa was issued its 1225131477 by the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the information regarding Ardent Family Care Pa most recently updated?
The details pertaining to the Ardent Family Care Pa, including its address, specialty, and other relevant information, were last refreshed on 2009-07-15.