Organization Active NPI

Vero Beach Family Care Inc.

  • Primary Care Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1770939449
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VERO BEACH FAMILY CARE INC.
Practice address
2651 20TH Street
Vero Beach, FL 32960-6602
Phone
(954) 661-8151
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Jerry Jacobson
Title
VP
Phone
(954) 661-8151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2651 20TH Street
Vero Beach, FL 32960-6602

Mailing address

3851 Virginia Ave
Fort Pierce, FL 34981-5515

National Provider Directory

National Provider Directory

Locations

3851 Virginia Ave
Fort Pierce, FL 34981
Phone (772) 873-7777

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1770939449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 VIRGINIA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 20TH STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606602",
            "telephone_number": "954-661-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO BEACH FAMILY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-661-8151"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.