Organization Active NPI

Marianna Family Care Center, LLC

Doing business as N/a

  • Family Medicine Physician
  • Marianna, FL
National Provider Identifier
1245599828
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN371 Issued in FL
Legal business name
MARIANNA FAMILY CARE CENTER, LLC
Doing business as
N/a
Practice address
2928 Daniels St
Marianna, FL 32446-2912
Phone
(850) 526-3555
Fax
(850) 526-3570
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Horacio Jorge Rodriguez-Jimenez, M.D.
Title
Owner
Phone
(850) 526-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ACN371 FL Primary

Addresses

Primary practice location

2928 Daniels St
Marianna, FL 32446-2912

Mailing address

2928 Daniels St
Marianna, FL 32446-2912
Phone (850) 526-3555

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1245599828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 DANIELS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462912",
            "telephone_number": "850-526-3555",
            "fax_number": "850-526-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 DANIELS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462912",
            "telephone_number": "850-526-3555",
            "fax_number": "850-526-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA FAMILY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-JIMENEZ",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-526-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.