Our Family Doctor Clinic PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OUR FAMILY DOCTOR CLINIC PA

Practice address

27348 Cashford Cir
Wesley Chapel, FL 33543-8198

Phone

(813) 907-7680

Fax

(813) 907-2454

NPI assigned

Apr 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mona Saleh Boghdadi, M.D.NPI 1891912754

Title

President

Phone

(813) 907-7680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mona Saleh Boghdadi, M.D.

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1891912754

  FL

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1154548014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48315",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336470120",
            "telephone_number": "813-907-7680",
            "fax_number": "813-907-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27348 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335438198",
            "telephone_number": "813-907-7680",
            "fax_number": "813-907-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY DOCTOR CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "BOGHDADI",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "SALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-907-7680",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Osadchy
• Stephany Bolade Oshinoiki
• Tiffany Bolaji Oshinoiki
• Maryana Ostapenko, LMHC
• Holly Ouillette
• Our Loving Hands Companionship LLC
• Our Loving Hands Transportation LLC
• Overlea-Fullerton Chiropractic Center PC
• PA Resources, Inc.
• Padgett Medical Center, LLC

• All providers in Wesley Chapel, FL
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.