| Circle Of Health Family Practice Llc | |
|
10 Florida Park Dr N Ste B Palm Coast FL 32137-3893 | |
| (386) 447-1803 | |
| (386) 447-1842 |
| Full Name | Circle Of Health Family Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Florida Park Dr N Ste B, Palm Coast, Florida |
| Authorized Official Name and Position | Christina Fernandes (OWNER) |
| Authorized Official Contact | 3864471803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Health Family Practice Llc 10 Florida Park Dr N Ste B Palm Coast FL 32137-3893 Ph: (386) 447-1803 | Circle Of Health Family Practice Llc 10 Florida Park Dr N Ste B Palm Coast FL 32137-3893 Ph: (386) 447-1803 |
| NPI Number | 1417115528 |
|---|---|
| Provider Enumeration Date | 05/26/2008 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 0840368981 |
|---|---|
| Medicare Enrollment ID | O20081002000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417115528 | NPI | - | NPPES |
| AN528 | Other | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP9189535 (Florida) | Primary |
| Provider Name | Adrienne B Dolinky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194783324 PECOS PAC ID: 4486631421 Enrollment ID: I20040707000630 |
| Provider Name | Jonathan M Treece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780978700 PECOS PAC ID: 9638322829 Enrollment ID: I20130122000418 |
| Provider Name | Christina A Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942712732 PECOS PAC ID: 9032471958 Enrollment ID: I20180313000363 |
| Provider Name | Jennifer Dopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194389734 PECOS PAC ID: 8628304292 Enrollment ID: I20190722000026 |
Md Transformations Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Cypress Point Pkwy Ste B1, Palm Coast, FL 32164 Phone: 386-283-5668 Fax: 386-283-5670 | |
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Solution 1 Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Utility Dr Ste 2f, Palm Coast, FL 32137 Phone: 386-359-7838 | |
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