Organization
FAMILY CARE OF PALM COAST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA RABKIN MD (PRESIDENT)
(386) 445-2003
Entity
Organization
Contact information
Practice address
4869 PALM COAST PARKWAY NW 802, PALM COAST, FL 32145
(386) 445-2003
(386) 445-7445
Mailing address
4869 PALM COAST PKWY NW # 802, PALM COAST, FL 32137-3661
(386) 445-2003
(386) 445-7445
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
92879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273940200
—
FL
01
—
U6363Z
MEDICARE NUMBER
FL
Enumeration date
07/18/2008
Last updated
07/18/2008
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