# FAMILY HEALTH CENTER PEDIATRICS AND FAMILY PRACTICE PA

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

## Provider details

- **NPI number:** 1356446090
- **Authorized official:** DAE SUNG CHOI MD (PRESIDENT)
- **Authorized official phone:** (386) 426-5800

## Contact information

- **Practice address:** 245 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169
- **Practice address phone:** (386) 426-5800
- **Practice address fax:** (386) 426-1416
- **Mailing address:** 245 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169
- **Mailing address phone:** (386) 426-5800
- **Mailing address fax:** (386) 426-1416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 10/22/2007