| The Family Doctors, Llc | |
|
14050 Town Loop Blvd Ste. 201 Orlando FL 32837-6190 | |
| (407) 348-0399 | |
| (407) 348-8350 |
| Full Name | The Family Doctors, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 14050 Town Loop Blvd, Orlando, Florida |
| Authorized Official Name and Position | Marin Bautista (MGRM) |
| Authorized Official Contact | 4073480399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Doctors, Llc 14050 Town Loop Blvd Ste. 201 Orlando FL 32837-6190 Ph: (407) 348-0399 | The Family Doctors, Llc 14050 Town Loop Blvd Ste. 201 Orlando FL 32837-6190 Ph: (407) 348-0399 |
| NPI Number | 1043604929 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 03/27/2015 |
| Medicare PECOS PAC ID | 6103196308 |
|---|---|
| Medicare Enrollment ID | O20170720002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043604929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME62124 (Florida) | Primary |
| Provider Name | Marin Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528092400 PECOS PAC ID: 9739141516 Enrollment ID: I20041103001205 |
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