ADVANCED FAMILY MEDICINE CLINIC INC – NPI #1184805830
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

ADVANCED FAMILY MEDICINE CLINIC INC is a provider located in CRESTVIEW, FL. NPPES has assigned the NPI number 1184805830 to ADVANCED FAMILY MEDICINE CLINIC INC on November 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Apr 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED FAMILY MEDICINE CLINIC INC below.

NPI Profile for
ADVANCED FAMILY MEDICINE CLINIC INC

NPI Number
1184805830
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED FAMILY MEDICINE CLINIC INC
Primary location
327 MEDCREST DRIVE
UNIT A
CRESTVIEW, FL 32536
Phone: (850) 423-0761 Fax: (855) 793-3568
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATE LOPS
OWNER/PHYSICIAN
Phone: (850) 423-0761
Updated
Certification Date
Apr 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED FAMILY MEDICINE CLINIC INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAFL1184803830
OTHERBLUE CROSS BLUE SHIELDFL37798
OTHERHUMANAFL1184805830
OTHERTRICAREFL1184805830
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 FL ME89643

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.