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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