Family Care of Palm Coast PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

92879 Issued in FL

Legal business name

FAMILY CARE OF PALM COAST PA

Practice address

4869 Palm Coast Parkway NW 802
Palm Coast, FL 32145

Phone

(386) 445-2003

Fax

(386) 445-7445

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Marina Rabkin, MD

Title

President

Phone

(386) 445-2003

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1366607335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 PALM COAST PKWY NW # 802",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373661",
            "telephone_number": "386-445-2003",
            "fax_number": "386-445-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 PALM COAST PARKWAY NW 802",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32145",
            "telephone_number": "386-445-2003",
            "fax_number": "386-445-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE OF PALM COAST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "RABKIN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-445-2003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "92879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "U6363Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273940200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arcangelo Faiella
• Faithangel Corp
• Joel Robert Fallon
• Kayleigh Fallon, APRN
• Kelsea Fallon
• Family Eye Care of Palm Coast, Inc
• Family First Coaching, LLC
• Family Medical Care of Palm Coast LLC
• Waleed Farahat, FNP-C
• Yasser Farahat

• Medical Specialty Clinic/Center in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.