| Med Family Care Pllc | |
|
3600 Nw 43rd St Suite D-2 Gainesville FL 32606 | |
| (352) 872-5755 | |
| (352) 872-5102 |
| Full Name | Med Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3600 Nw 43rd St, Gainesville, Florida |
| Authorized Official Name and Position | Isabel Rodriguez (OWNER) |
| Authorized Official Contact | 7873633790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Family Care Pllc 3600 Nw 43rd St Suite D-2 Gainesville FL 32606-8137 Ph: (787) 363-3790 | Med Family Care Pllc 3600 Nw 43rd St Suite D-2 Gainesville FL 32606 Ph: (352) 872-5755 |
| NPI Number | 1316357312 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 09/16/2014 |
| Medicare PECOS PAC ID | 7113142795 |
|---|---|
| Medicare Enrollment ID | O20140716000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316357312 | NPI | - | NPPES |
| 011048000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ACN441 (Florida) | Primary |
| Provider Name | Isabel Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780780841 PECOS PAC ID: 5496996308 Enrollment ID: I20130718000409 |
| Provider Name | Elias Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346342656 PECOS PAC ID: 3173554953 Enrollment ID: I20140729000910 |
| Provider Name | Joanna Tseng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992385744 PECOS PAC ID: 6305255589 Enrollment ID: I20210909002576 |
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