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Organization
LA FAMILIA HEALTH CLINIC, LLC
Active
Organization
LA FAMILIA HEALTH CLINIC, LLC
Active
Other names
LA FAMILIA MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL R ROSARIO MD (MEDICAL DIRECTOR)
(352) 237-8903
Entity
Organization
Contact information
Practice address
7625 SW 62ND CT STE 100, OCALA, FL 34476
(352) 237-8903
(352) 237-8962
Mailing address
7625 SW 62ND CT STE 100, OCALA, FL 34476-8322
(352) 237-8903
(352) 237-8962
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700055878
INDIVIDUAL NPI
—
01
—
ACN560
LICENSE
FL
Enumeration date
12/05/2017
Last updated
08/08/2018
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