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Organization
FELIZ FAMILY CARE, PLLC
Active
Organization
FELIZ FAMILY CARE, PLLC
Active
Parent organization
FELIZ FAMILY CARE, PLLC
Other names
Feliz Care Centers PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FELIZ FAMILY CARE, PLLC
Authorized official
ROMAN CARRASCO (CEO)
(480) 404-7158
Entity
Organization
Contact information
Practice address
825 W SOUTHERN AVE STE 100, PHOENIX, AZ 85041-4720
(602) 243-3429
Mailing address
1345 E MAIN ST STE 100, MESA, AZ 85203-8950
(480) 264-3711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/17/2023
Last updated
01/21/2024
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