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Organization
FIRST CARE FAMILY PHYSICIANS
Active
Organization
FIRST CARE FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
(321) 449-4168
Entity
Organization
Contact information
Practice address
1051 EBER BLVD, STE 101, MELBOURNE, FL 32904-8768
(321) 723-1074
(321) 723-1075
Mailing address
150 N SYKES CREEK PKWY, STE 300, MERRITT ISLAND, FL 32953-3488
(321) 449-4168
(321) 449-4164
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
08/26/2008
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