Gadsden Family Clinic, PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME 0029888 Issued in FL

Legal business name

GADSDEN FAMILY CLINIC, PA

Practice address

304 E Jefferson St
Quincy, FL 32351-2530

Phone

(850) 875-2125

Fax

(850) 875-4689

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Camacho Ramos, M.D.

Title

Ceo

Phone

(850) 875-2125

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1871815340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512530",
            "telephone_number": "850-875-2125",
            "fax_number": "850-875-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512530",
            "telephone_number": "850-875-2125",
            "fax_number": "850-875-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN FAMILY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "CAMACHO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-875-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME 0029888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036738900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gadsden County School Board
• Gadsden County School Board
• Gadsden County School Board
• Gadsden County Senior Citizen Foundation, Inc
• Gadsden County Urgent Care
• Gadsden Senior Services
• Ieisha Galloway
• Eboni Garner, APRN
• Jane Garrett
• Amanda Geathers

• Health Service Clinic/Center in Quincy, FL
• Providers in Quincy, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.