Family Care On Eustis Square Pa in Eustis - Medical
Family Care On Eustis Square Pa - NPI 1659473833
Family Care On Eustis Square Pa is a Medical in Eustis, Florida. Family Care On Eustis Square Pa practices all healthcare services and medical treatments related to Medical. The NPI Number for Family Care On Eustis Square Pa is 1659473833. The last update date is 2009-07-23.
Family Care On Eustis Square Pa's current location address is 1 W Park Ave, Eustis, Florida. You can contact this provider via phone number 3523574629 and fax number 3523579367. The mailing address for Family Care On Eustis Square Pa is 1 W Park Ave, Eustis, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Care On Eustis Square Pa |
|---|---|
| Address | 1 W Park Ave, Eustis, Florida |
| Phone Number | 3523574629 |
| Fax Number | 3523579367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hester R Keith |
| Credentials | PA-C |
| Telephone Number | 3523574629 |
NPI Number Detail
| NPI Number | 1659473833 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2009-07-23 |
Provider Mailing Address Detail
| Address | 1 W Park Ave |
|---|---|
| City | Eustis |
| State | Florida (FL) |
| Post Code | 327262947 |
| Phone Number | 3523574629 |
| Fax Number | 3523579367 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA2446 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K0951 | FL | MEDICARE GROUP PTAN | |
| 259149900 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Family Care On Eustis Square Pa?
The Family Care On Eustis Square Pa has been issued the NPI (National Provider Identifier) 1659473833 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Family Care On Eustis Square Pa?
The Family Care On Eustis Square Pa is situated at 1 W Park Ave, in the city of Eustis, state of FL, with the zip code 327262947.
What is the area of specialization for Family Care On Eustis Square Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Family Care On Eustis Square Pa is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did Family Care On Eustis Square Pa receive its 1659473833 assignment from the Centers for Medicare & Medicaid Services?
The Family Care On Eustis Square Pa was assigned its 1659473833 on 2006-09-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Family Care On Eustis Square Pa's details last updated?
The information pertaining to the Family Care On Eustis Square Pa, including its address, specialty, and other details, was most recently updated on 2009-07-23.
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