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Organization
FELIZ FAMILY CARE, PLLC
Active
Organization
FELIZ FAMILY CARE, PLLC
Active
Parent organization
FELIZ FAMILY CARE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FELIZ FAMILY CARE, PLLC
Authorized official
ROMAN CARRASCO (CEO)
(480) 404-7158
Entity
Organization
Contact information
Practice address
1076 W CHANDLER BLVD STE 108-109, CHANDLER, AZ 85224-5225
(480) 264-3711
Mailing address
PO BOX 37304, BELFAST, ME 04915-1215
(480) 264-3711
(877) 725-3934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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