Organization Active NPI

Family First Medical Center Inc

  • Family Medicine Physician
  • Haines City, FL
National Provider Identifier
1699819037
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY FIRST MEDICAL CENTER INC
Practice address
33044 Hwy 27
Haines City, FL 33844-7621
Phone
(863) 422-4977
Fax
(863) 422-7786
NPI assigned
Feb 19, 2007
Last updated
Nov 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Dr. Wael A Jamaleddine, M.D.NPI 1972647311
Title
President
Phone
(863) 422-4977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

33044 Hwy 27
Haines City, FL 33844-7621

Mailing address

33044 Hwy 27
Haines City, FL 33844-7621
Phone (863) 422-4977

National Provider Directory

National Provider Directory

Locations

1920 Verano Dr
Ste 101
Haines City, FL 33844
Phone (863) 422-4977

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1699819037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33044 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447621",
            "telephone_number": "863-422-4977",
            "fax_number": "863-422-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33044 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447621",
            "telephone_number": "863-422-4977",
            "fax_number": "863-422-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "JAMALEDDINE",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-422-4977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.