Family Care 1 LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME108892 Issued in FL

Legal business name

FAMILY CARE 1 LLC

Practice address

1411 SE 16TH PL
Cape Coral, FL 33990

Phone

(236) 673-6516

NPI assigned

Mar 5, 2013

Last updated

May 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elina Tomski, MD

Title

Owner

Phone

(239) 691-0012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1508107244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 19TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913714",
            "telephone_number": "239-691-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "236-673-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "TOMSKI",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-691-0012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.