Active NPI
Family Care Partners of Northeast Florida LLC
- Family Medicine Physician
- Fleming Island, FL
National Provider Identifier
1629670369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC
- Practice address
- 4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822 - Phone
- (904) 269-4559
- Fax
- (904) 269-4597
- NPI assigned
- Nov 9, 2020
- Organization subpart
- Yes
- Parent organization
- FAMILY CARE PARTNERS OF NORTHEAST FLORIDA, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Brown
- Title
- Cfo
- Phone
- (833) 702-8383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822
Mailing address
425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (904) 745-3618
National Provider Directory
National Provider Directory- Tax ID family
- Family Care Partners of Northeast Florida LLC
- Part of
- Family Care Partners of Northeast Florida LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1114529856
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1417559147
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1750323143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735862400000",
"number": "1629670369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W COLONIAL DR STE 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046863",
"telephone_number": "904-745-3618",
"fax_number": "904-722-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 US HIGHWAY 17 STE 106",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034822",
"telephone_number": "904-269-4559",
"fax_number": "904-269-4597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY CARE PARTNERS OF NORTHEAST FLORIDA, LLC",
"enumeration_date": "2020-11-09",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "833-702-8383"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.