Organization Active NPI

Englewood Family Health Care Center Inc

  • Family Medicine Physician
  • Englewood, FL
National Provider Identifier
1184831430
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENGLEWOOD FAMILY HEALTH CARE CENTER INC
Practice address
2400 S McCall Rd Ste C
Englewood, FL 34224-5136
Phone
(941) 473-2913
Fax
(941) 473-9813
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Todd R Chace, DO
Title
President
Phone
(941) 474-9314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2400 S McCall Rd Ste C
Englewood, FL 34224-5136

Mailing address

2400 S McCall Rd Ste C
Englewood, FL 34224-5136
Phone (941) 473-2913

National Provider Directory

National Provider Directory

Locations

701 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1522

13435 S McCall Rd
Ste C10
Port Charlotte, FL 33981

13435 S McCall Rd
Unit 10
Port Charlotte, FL 33981
Phone (941) 828-0250

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1184831430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S MCCALL RD STE C",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342245136",
            "telephone_number": "941-473-2913",
            "fax_number": "941-473-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S MCCALL RD STE C",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342245136",
            "telephone_number": "941-473-2913",
            "fax_number": "941-473-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD FAMILY HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "CHACE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-474-9314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "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 Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.