# FAMILY CARE OF PALM COAST PA

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

## Provider details

- **NPI number:** 1366607335
- **Authorized official:** MARINA RABKIN MD (PRESIDENT)
- **Authorized official phone:** (386) 445-2003

## Contact information

- **Practice address:** 4869 PALM COAST PARKWAY NW 802, PALM COAST, FL 32145
- **Practice address phone:** (386) 445-2003
- **Practice address fax:** (386) 445-7445
- **Mailing address:** 4869 PALM COAST PKWY NW \# 802, PALM COAST, FL 32137-3661
- **Mailing address phone:** (386) 445-2003
- **Mailing address fax:** (386) 445-7445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 92879 | FL | Yes |

## Other

- **Enumeration date:** 07/18/2008
- **Last updated:** 07/18/2008