# FELIZ FAMILY CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FELIZ FAMILY CARE, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285472860
- **Legal business name:** FELIZ FAMILY CARE, PLLC
- **Authorized official:** ROMAN CARRASCO (CEO)
- **Authorized official phone:** (480) 404-7158

## Contact information

- **Practice address:** 1076 W CHANDLER BLVD STE 108-109, CHANDLER, AZ 85224-5225
- **Practice address phone:** (480) 264-3711
- **Mailing address:** PO BOX 37304, BELFAST, ME 04915-1215
- **Mailing address phone:** (480) 264-3711
- **Mailing address fax:** (877) 725-3934

## Taxonomy

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