Clay Primary & Family Care Llc

LBN: Clay Primary & Family Care Llc
Clay Primary & Family Care Llc is an health care organization with primary practice located at 865 Blanding Blvd , Orange Park FL 32065-8917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clay Primary & Family Care Llc can be contacted via phone (904) 276-1133, or through Moshiree, Massoud via phone (904) 276-1133.

Contact Information

Primary practice address
865 Blanding Blvd Orange Park FL 32065-8917
Phone: (904) 276-1133
Fax: (904) 276-1821
Website:
Map and Directions
Authorized official contact:
Name: Moshiree, Massoud Doctor of Medicine (MD)
Phone: (904) 276-1133

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Florida

Profile Details

NPI number 1730186792
LBN Legal business name Clay Primary & Family Care Llc
DBA Doing business as
Authorized official Moshiree, Massoud Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730186792 NPPES
Florida MEDICAID 255561100

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