Florida Family Rural Health Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME 91882 Issued in FL

Legal business name

FLORIDA FAMILY RURAL HEALTH CARE LLC

Doing business as

Avon Medical Center

Practice address

2398 Hartford Dr
Avon Park, FL 33825-9523

Phone

(863) 453-2500

Fax

(863) 453-0745

NPI assigned

Feb 2, 2007

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Ray Karr, P.A.-CNPI 1114065166

Title

President

Phone

(863) 453-2500

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AVON MEDICAL CENTER Doing business as

Locations

Practitioners 2

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.

• Michael Ray Karr, PA-C

  • Physician Assistant
  • Avon Park, FL
  • NPI 1114065166
  NPD Authorized official
• David L Holmes, D.O.

  • Adult Medicine Physician
  • Lake Wales, FL
  • NPI 1568469302
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1902944747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 HARTFORD DR",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259523",
            "telephone_number": "863-453-2500",
            "fax_number": "863-453-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 HARTFORD DR",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259523",
            "telephone_number": "863-453-2500",
            "fax_number": "863-453-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY RURAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "KARR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-453-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A.-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PA1725",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME 91882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660069700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290263000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Etienne, ARNP
• F M Abanilla MD PA
• Julia Lyn Fashner, MD
• Fi-the Oaks, LLC (The Oaks at Avon)
• Alice Christine Fletcher
• Florida Physicians Medical Group (Donald Geldart MD)
• Florida Physicians Medical Group Inc (Family Practice Center of Avon Park)
• Florida Rheumatology Associates Inc
• Florida Rheumatology Associates Inc.
• Brigitte Floyd, PTA

• Clinic/Center in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Clinic/Center in Florida

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