Organization
CIRCLE OF HEALTH FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA FERNANDES ARNP (OWNER)
(386) 447-1803
Entity
Organization
Contact information
Practice address
10 FLORIDA PARK DR N STE B, PALM COAST, FL 32137-3893
(386) 447-1803
(386) 447-1842
Mailing address
10 FLORIDA PARK DR N STE B, PALM COAST, FL 32137-3893
(386) 447-1803
(386) 447-1842
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ARNP9189535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AN528
MEDICARE ID
—
Enumeration date
05/26/2008
Last updated
01/06/2020
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