Our Family Doctor Clinic PA
Clinic/Center, Primary Care in Wesley Chapel, FL. Organization (NPI-2).
NPI number1154548014
StatusActive
Last updated in NPPESJan 10, 2008
Details
- NPI
- 1154548014
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Family Doctor Clinic PA
- Organization subpart
- No
- Enumeration date
- Apr 19, 2007
- Last updated
- Jan 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
27348 Cashford CirWesley Chapel, FL 33543-8198
Phone 813-907-7680 · Fax 813-907-2454
Mailing address
Po Box 48315Tampa, FL 33647-0120
Phone 813-907-7680 · Fax 813-907-2454
Authorized official
Mona Saleh Boghdadi
President
8139077680
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