Active NPI
Famh Enterprise, LLC
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1699414680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farid Ahmed
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1205018843
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
- Michael A. Fallucco, M.D.
- Cindy Falor, LMHC,CAP
- Zahily Fals, M.D
- Katherine D Falwell, PH.D., BCBA-D
- Fame Speech and Myo
- Familia Supporting Hand, LLC (Familia Supporting Hand)
- Families First Medical Group LLC
- Family Allergy & Asthma Consultants
- Family Behavioral Support
- Family Care Partners of Northeast Florida LLC
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.