Organization Active NPI

Central Family Care LLC

  • General Practice Physician
  • Quincy, FL
National Provider Identifier
1841549599
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN 379 Issued in FL
Legal business name
CENTRAL FAMILY CARE LLC
Practice address
105 E Jefferson St
Quincy, FL 32351-2407
Phone
(850) 566-9014
Fax
(281) 220-8979
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Simeon H Vilchez, M.D.
Title
President
Phone
(850) 566-9014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X ACN 379 FL Primary

Addresses

Primary practice location

105 E Jefferson St
Quincy, FL 32351-2407

Mailing address

362B Lori LN
Carrabelle, FL 32322-3252
Phone (850) 566-9014

Other names 1

  • Gadsden Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

105 E Jefferson St
Quincy, FL 32351
Phone (850) 566-9014

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1841549599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362B LORI LN",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323223252",
            "telephone_number": "850-566-9014",
            "fax_number": "281-220-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512407",
            "telephone_number": "850-566-9014",
            "fax_number": "281-220-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "VILCHEZ",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-566-9014",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN 379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gadsden Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.