Organization
FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASAD MOIZ ALI M.D. (MEDICAL DOCTOR/OWNER)
(941) 752-1400
Entity
Organization
Contact information
Practice address
6078 14TH ST W, BRADENTON, FL 34207-4104
(941) 752-1400
(941) 752-0192
Mailing address
6078 14TH ST W, BRADENTON, FL 34207
(941) 752-1400
(941) 752-0192
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0071369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250563100
—
FL
Enumeration date
05/15/2012
Last updated
12/21/2012
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