American Family Care | |
4713 Highway 90 Pace FL 32571-1403 | |
(850) 304-0694 | |
(850) 304-0701 |
Full Name | American Family Care |
---|---|
Speciality | Clinic/Center |
Location | 4713 Highway 90, Pace, Florida |
Authorized Official Name and Position | Patrick Bianchi (OWNER) |
Authorized Official Contact | 2054038902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
American Family Care 3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 403-8902 | American Family Care 4713 Highway 90 Pace FL 32571-1403 Ph: (850) 304-0694 |
NPI Number | 1205268208 |
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Provider Enumeration Date | 08/01/2013 |
Last Update Date | 02/20/2023 |
Medicare PECOS PAC ID | 2769616762 |
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Medicare Enrollment ID | O20131007000533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205268208 | NPI | - | NPPES |
HCC10710 | Other | FL | AHCA EXEMPTION |
HCC15150 | Medicaid | FL |
Provider Name | James T Drew |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104803774 PECOS PAC ID: 7719870138 Enrollment ID: I20040207000197 |
Provider Name | Mark A Smith |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871558114 PECOS PAC ID: 3870482771 Enrollment ID: I20040310001273 |
Provider Name | Mary F Hart |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629054341 PECOS PAC ID: 7618967977 Enrollment ID: I20040517001596 |
Provider Name | Patrick D Bianchi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538146048 PECOS PAC ID: 6608857818 Enrollment ID: I20040525000868 |
Provider Name | Timothy A Rak |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1053495473 PECOS PAC ID: 0749245314 Enrollment ID: I20041123000269 |
Provider Name | Ghassan Ju Ghata |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1013983063 PECOS PAC ID: 1456399518 Enrollment ID: I20050419001331 |
Provider Name | Logan T Porter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881705762 PECOS PAC ID: 4082790019 Enrollment ID: I20080331000354 |
Provider Name | Andrew Menhuang Yang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679558852 PECOS PAC ID: 0840331708 Enrollment ID: I20100114000231 |
Provider Name | Kyle H Petersen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790032530 PECOS PAC ID: 8820233984 Enrollment ID: I20130321000211 |
Provider Name | John B Hinckley |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1649336132 PECOS PAC ID: 1658545637 Enrollment ID: I20130522000122 |
Provider Name | Mark Edwards |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1386645554 PECOS PAC ID: 8123123551 Enrollment ID: I20140319001209 |
Provider Name | Kimberly D Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356717862 PECOS PAC ID: 3375844277 Enrollment ID: I20151218000672 |
Provider Name | Phillip D Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366981177 PECOS PAC ID: 0345527313 Enrollment ID: I20170428000538 |
Provider Name | Serena Rohrbeck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649757014 PECOS PAC ID: 5890045017 Enrollment ID: I20180910002808 |
Provider Name | Muhammad Tarik Shaaban |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801275276 PECOS PAC ID: 9335458199 Enrollment ID: I20181002000118 |
Provider Name | Zalika T Nisbeth |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902256027 PECOS PAC ID: 9436438280 Enrollment ID: I20181128002429 |
Provider Name | Joshua Heath Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679991202 PECOS PAC ID: 7911276720 Enrollment ID: I20181130000699 |
Provider Name | Bilal Islam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124361431 PECOS PAC ID: 7113205139 Enrollment ID: I20190128001258 |
Provider Name | Dayle C Hawthorne |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235234592 PECOS PAC ID: 0042471674 Enrollment ID: I20190205001527 |
Provider Name | Samantha Avla Blue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942729090 PECOS PAC ID: 9931447307 Enrollment ID: I20190208002849 |
Provider Name | Simone H Brady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144202383 PECOS PAC ID: 6305910266 Enrollment ID: I20190924001237 |
Provider Name | Margaret Lamkin |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1215128376 PECOS PAC ID: 7113212309 Enrollment ID: I20200221002387 |
Provider Name | Christina Brockman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407834864 PECOS PAC ID: 5395798383 Enrollment ID: I20200310002620 |
Provider Name | Tara L Stanton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194175554 PECOS PAC ID: 7810288560 Enrollment ID: I20200328000014 |
Provider Name | Nabilah Fairuz Lari |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568816205 PECOS PAC ID: 2365772068 Enrollment ID: I20200819002802 |
Provider Name | Brian V Hopkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992248355 PECOS PAC ID: 8224441506 Enrollment ID: I20210610000793 |
Provider Name | Van A Willis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356587554 PECOS PAC ID: 8325285372 Enrollment ID: I20210817001634 |
Provider Name | Ashley Marie Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700457645 PECOS PAC ID: 2365849429 Enrollment ID: I20210916002301 |
Provider Name | Albert J Lobato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780024984 PECOS PAC ID: 1951536762 Enrollment ID: I20220310001047 |
Provider Name | Tanya Hodgens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821013491 PECOS PAC ID: 0244269728 Enrollment ID: I20220323002305 |
Provider Name | Deanna D Ryan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326690223 PECOS PAC ID: 9133450299 Enrollment ID: I20220426002080 |
Provider Name | Sonia Mcclinton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902982887 PECOS PAC ID: 8022018837 Enrollment ID: I20230502001496 |
Provider Name | Jon Christian Storey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235767666 PECOS PAC ID: 8123484953 Enrollment ID: I20230519001444 |
Provider Name | Lisa Garrison Johnston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871204982 PECOS PAC ID: 1759740442 Enrollment ID: I20230703000323 |
Provider Name | Brenda Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609404904 PECOS PAC ID: 8426410556 Enrollment ID: I20230821004023 |
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