Organization Active NPI

Famh Enterprise, LLC

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1699414680
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMH ENTERPRISE, LLC
Practice address
13241 Bartram Park Blvd Unit 2009
Jacksonville, FL 32258-5223
Phone
(833) 417-5337
Fax
(904) 930-4222
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Farid AhmedNPI 1205018843
Title
Owner
Phone
(833) 417-5337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

13241 Bartram Park Blvd Unit 2009
Jacksonville, FL 32258-5223

Mailing address

13241 Bartram Park Blvd Unit 2009
Jacksonville, FL 32258-5223
Phone (833) 417-5337

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": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1699414680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 2009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585223",
            "telephone_number": "833-417-5337",
            "fax_number": "904-930-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 2009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585223",
            "telephone_number": "833-417-5337",
            "fax_number": "904-930-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMH ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-417-5337"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.