Hansen Family Medicine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OS8012 Issued in FL

Legal business name

HANSEN FAMILY MEDICINE LLC

Practice address

15151 S US Highway 441
Suite 300
Summerfield, FL 34491-4482

Phone

(352) 307-1350

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Cherie L Hansen, D.O.

Title

Owner

Phone

(352) 307-1350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1992198931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 S US HIGHWAY 441",
            "address_2": "SUITE 300",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914482",
            "telephone_number": "352-307-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 S US HIGHWAY 441",
            "address_2": "SUITE 300",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914482",
            "telephone_number": "352-307-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-307-1350",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS8012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.