A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Family Medicine - Sports Medicine |
207QS0010X | 08 | Physician/Family Practice | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Legal Medicine |
209800000X | |||
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management |
| NPI Number | 1083585491 |
| LBN Legal business name | FEDCARE, LLC |
| Authorized official | EMILI GRAGG - (OPERATIONS MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/17/2025 |
| Last updated | 09/17/2025 - About 9 months ago |
| Identifiers | n/a |
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FEDCARE, LLC
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