| Town Center Family Care Llc | |
|
21 Hospital Dr Ste 290 Palm Coast FL 32164-2380 | |
| (386) 473-7977 | |
| (386) 437-7732 |
| Full Name | Town Center Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 21 Hospital Dr, Palm Coast, Florida |
| Authorized Official Name and Position | Donnette Williams (OWNER) |
| Authorized Official Contact | 3864377977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Center Family Care Llc Po Box 3123 St Augustine FL 32085-3123 Ph: (904) 824-4990 | Town Center Family Care Llc 21 Hospital Dr Ste 290 Palm Coast FL 32164-2380 Ph: (386) 473-7977 |
| NPI Number | 1396918579 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396918579 | NPI | - | NPPES |
| Y81BD | Other | FL | FL BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME61253 (Florida) | Primary |
| 302F00000X | Exclusive Provider Organization | ME61253 (Florida) | Secondary |
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