Pea Ridge Family Care Center Inc

LBN: Pea Ridge Family Care Center Inc
Pea Ridge Family Care Center Inc is an health care organization with primary practice located at 5553 Highway 90 , Pace FL 32571-1540. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pea Ridge Family Care Center Inc can be contacted via phone (850) 995-8811, or through Garg, Purushottam K. via phone (850) 995-8811.

Contact Information

Primary practice address
5553 Highway 90 Pace FL 32571-1540
Phone: (850) 995-8811
Fax: (850) 995-8810
Website:
Map and Directions
Authorized official contact:
Name: Garg, Purushottam K. Doctor of Medicine (MD)
Phone: (850) 995-8811

Health care specialties

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

Profile Details

NPI number 1306822911
LBN Legal business name Pea Ridge Family Care Center Inc
DBA Doing business as
Authorized official Garg, Purushottam K. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Dec 12th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306822911 NPPES
Florida MEDICAID 251128200
Florida Other 38616

Popular Providers