| Family Care Inc | |
|
6078 14th St W Bradenton FL 34207-4104 | |
| (941) 752-1400 | |
| (941) 752-0192 |
| Full Name | Family Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6078 14th St W, Bradenton, Florida |
| Authorized Official Name and Position | Asad Moiz Ali (MEDICAL DOCTOR/OWNER) |
| Authorized Official Contact | 9417521400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Inc 6078 14th St W Bradenton FL 34207 Ph: (941) 752-1400 | Family Care Inc 6078 14th St W Bradenton FL 34207-4104 Ph: (941) 752-1400 |
| NPI Number | 1487913133 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 12/21/2012 |
| Medicare PECOS PAC ID | 8224291851 |
|---|---|
| Medicare Enrollment ID | O20120518000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487913133 | NPI | - | NPPES |
| 250563100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0071369 (Florida) | Primary |
| Provider Name | Asad M Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790715233 PECOS PAC ID: 1254594880 Enrollment ID: I20120518000324 |
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