First Primary Care and Family Medicine, Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

FIRST PRIMARY CARE AND FAMILY MEDICINE, INC.

Practice address

1681 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4819

Phone

(904) 264-2006

Fax

(904) 264-2766

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Hui Tang, MD

Title

Owner

Phone

(904) 264-2006

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DigiExpress Imaging Doing business as

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1528290350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 EAGLE HARBOR PKWY",
            "address_2": "SUITE A",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034819",
            "telephone_number": "904-264-2006",
            "fax_number": "904-264-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 EAGLE HARBOR PKWY",
            "address_2": "SUITE A",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034819",
            "telephone_number": "904-264-2006",
            "fax_number": "904-264-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PRIMARY CARE AND FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "HUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-264-2006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HCC",
            "identifier": "HCC7670",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DigiExpress Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Zachary Ferdman, M.D.
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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.