Montega Family Medicine Pa

LBN: Montega Family Medicine Pa
Montega Family Medicine Pa is an health care organization with primary practice located at 151 College Dr Ste 3 , Orange Park FL 32065-7684. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Montega Family Medicine Pa can be contacted via phone (904) 639-5013, or through Garcia, Rafael A via phone (904) 214-6719.

Contact Information

Primary practice address
151 College Dr Ste 3 Orange Park FL 32065-7684
Phone: (904) 639-5013
Fax: (904) 639-5021
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Rafael A Doctor of Medicine (MD)
Phone: (904) 214-6719

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1306410634
LBN Legal business name Montega Family Medicine Pa
DBA Doing business as
Authorized official Garcia, Rafael A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2021
Last updated May 20th, 2021 - about 3 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 1306410634 NPPES
Florida MEDICAID 009422900

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