Organization
FAMILY FIRST PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON DASTA BUTLER MD (OWNER)
(904) 282-4565
Entity
Organization
Contact information
Practice address
1075 OAKLEAF PLANTATION PKWY, SUITE 108, ORANGE PARK, FL 32065-3624
(904) 282-4565
(904) 282-4225
Mailing address
1075 OAKLEAF PLANTATION PKWY, SUITE 108, ORANGE PARK, FL 32065-3624
(904) 282-4565
(904) 282-4225
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME 97725
FL
Other
Enumeration date
11/26/2007
Last updated
05/12/2009
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