Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI # | 1639351331 |
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| LBN Legal business name | FAMILY CARE PHYSICIANS | ||||||||
| Authorized official | LARRY COPPOLA - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/04/2007 | ||||||||
| Last updated | 12/04/2007 - About 19 years ago | ||||||||
| Identifiers |
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