Family First Primary Care Pa | |
1075 Oakleaf Plantation Pkwy Suite 108 Orange Park FL 32065-3624 | |
(904) 282-4565 | |
(904) 282-4225 |
Full Name | Family First Primary Care Pa |
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Speciality | Clinic/Center |
Location | 1075 Oakleaf Plantation Pkwy, Orange Park, Florida |
Authorized Official Name and Position | Allison Dasta Butler (OWNER) |
Authorized Official Contact | 9042824565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family First Primary Care Pa 1075 Oakleaf Plantation Pkwy Suite 108 Orange Park FL 32065-3624 Ph: (904) 282-4565 | Family First Primary Care Pa 1075 Oakleaf Plantation Pkwy Suite 108 Orange Park FL 32065-3624 Ph: (904) 282-4565 |
NPI Number | 1942481429 |
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Provider Enumeration Date | 11/26/2007 |
Last Update Date | 05/12/2009 |
Medicare PECOS PAC ID | 0345303798 |
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Medicare Enrollment ID | O20090110000109 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942481429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME 97725 (Florida) | Primary |
Provider Name | Allison Butler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093913212 PECOS PAC ID: 2567559685 Enrollment ID: I20071106000288 |
Provider Name | Monica Spurlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831682145 PECOS PAC ID: 7214280791 Enrollment ID: I20181030003257 |
Provider Name | Josephine E Brooke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215567565 PECOS PAC ID: 2668802166 Enrollment ID: I20200424000578 |
Provider Name | Kristen Renae Mann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801462452 PECOS PAC ID: 1951702232 Enrollment ID: I20210623003829 |
Provider Name | Daniele Kathaleen Dumas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285201038 PECOS PAC ID: 7416358031 Enrollment ID: I20210702000055 |
Provider Name | Maggie Chen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487316030 PECOS PAC ID: 5193115418 Enrollment ID: I20211201000048 |
Provider Name | Yolanda Denise Campbell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700499522 PECOS PAC ID: 1153709423 Enrollment ID: I20220528000238 |
Provider Name | Amanda Claire Lloyd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184173205 PECOS PAC ID: 5092097089 Enrollment ID: I20220902001341 |
Provider Name | Deborah Lynn Bellino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467166082 PECOS PAC ID: 3870968332 Enrollment ID: I20230414000769 |
Provider Name | Bridgette Bowles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124728712 PECOS PAC ID: 8123493459 Enrollment ID: I20230607003945 |
Provider Name | Haleigh Caster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518724848 PECOS PAC ID: 0446698906 Enrollment ID: I20240402004154 |
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