# FAMILIES FIRST MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154942563
- **Authorized official:** MRS. TRACEE HOLZENDORF RN, MSN (ADMINISTRATOR)
- **Authorized official phone:** (904) 608-0095

## Contact information

- **Practice address:** 11555 CENTRAL PKWY STE 402, JACKSONVILLE, FL 32224-2695
- **Practice address phone:** (904) 747-3800
- **Mailing address:** 8246 RIDING CLUB RD E, JACKSONVILLE, FL 32256-7266
- **Mailing address phone:** (904) 707-6042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2020
- **Last updated:** 12/17/2021