# FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY CARE PARTNERS OF NORTHEAST FLORIDA, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417559147
- **Legal business name:** FAMILY CARE PARTNERS OF NORTHEAST FLORIDA, LLC
- **Authorized official:** DAVID BROWN (SECRETARY)
- **Authorized official phone:** (833) 702-8383

## Contact information

- **Practice address:** 1215 DUNN AVE, JACKSONVILLE, FL 32218-6330
- **Practice address phone:** (904) 757-1998
- **Practice address fax:** (904) 696-7462
- **Mailing address:** 425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
- **Mailing address phone:** (904) 745-3618
- **Mailing address fax:** (904) 722-4271

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2020
- **Last updated:** 01/03/2025