Active NPI
Family First Medical Physicians, LLC
- Family Medicine Physician
- Haines City, FL
National Provider Identifier
1043985161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY FIRST MEDICAL PHYSICIANS, LLC
- Practice address
- 33044 Hwy 27
Haines City, FL 33844-7621 - Phone
- (863) 422-4977
- Fax
- (863) 422-7786
- NPI assigned
- Aug 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwight Perez
- Title
- Credentialing Specialist
- Phone
- (305) 733-5713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
33044 Hwy 27
Haines City, FL 33844-7621
Mailing address
33044 Hwy 27
Haines City, FL 33844-7621
Phone (863) 422-4977
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Haines City, FL
- NPI 1073052619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628640000000",
"number": "1043985161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33044 HWY 27",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338447621",
"telephone_number": "863-422-4977",
"fax_number": "863-422-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33044 HWY 27",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338447621",
"telephone_number": "863-422-4977",
"fax_number": "863-422-7786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FIRST MEDICAL PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "DWIGHT",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "305-733-5713"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.